Organic Skincare Sample Batch Production Request Form

Company/Brand Name Contact Person Email Address Phone Number

Product Name Product Type Cleanser Toner Serum Moisturizer Mask Balm Oil Other Desired Sample Batch Size (e.g., 500g, 1kg) Target Market/Audience

Specific Ingredients (if any) Ingredients to Avoid Intended Skin Type(s) Normal Oily Dry Sensitive Combination Special Claims/Features (e.g., vegan, fragrance-free, anti-aging)

Packaging Preferences Testing Requirements (e.g., stability, microbial) Additional Comments or Details