Sample Containers Request Form
First Name:
Last Name:
Company Name:
Address 1:
Address 2:
City/Province:
State:
Zip Code:
Country:
Phone Number:
(Include Area Code)
  
Fax number:
E-mail Address:
How did you hear about us?
Catalog requested:

Which Product Line?:

Please check only the container lines you are interested in using to package your products.














   
Security Code:
 Enter the number below:
  023495
Your container samples requested will be
sent out the next business day.
   
Specifications: In order to provide you with the proper samples,
please describe the item you are trying to package.

Privacy Statement: Please note L&A Packaging respects your privacy and is committed to protect the information that you share with us, as a result we will not share or sell any of the information provided within this catalog request form or any other form you may fill out while visiting our website.

 
Contact Us

LaContainer Inc.
24895 East La Palma Ave.
Yorba Linda, California, 92887 USA
Phone 714-694-0202
Fax 714-694-0400
Containing Ideas



[ Home ] [ Lavials ] [ Lacons ] [ Microvials ] [ Polyvials ] [ Lab Grade Containers ]
[ ESD Containers ] [ Nucons ] [ Statcons ] [ Flex-A-Top ] [ Rigid Boxes ]
[ Discons CD Holders ] [ Lapods ] [ Thornton ] [ Ellipso ] [ Versatainer ] [ Delitainer ]
[ Custom ][ Ball Chains ] [ Foam Inserts ] [ Tamper Evident Shrink Bands ]
[ Ordering ] [ Order Form ] [ About Us ] [ Contact ] [ Site Index ]

La-cons®, La-vials®, Lapods®, and DisconsTM are registered trademarks of
Loritz & Associates Inc.
© 2002 Loritz & Associates Inc. All rights reserved.