SAFETY GLASSES SAMPLE REQUEST 

NOTE: This form is for businesses only. We understand that change can make people uneasy. We want your business but more importantly, we want you and your employees to be happy with your safety glasses. The best safety glasses are the ones that people will use. To help you make a more informed decision, businesses who are considering larger volume purchases of our Pyramex safety glasses may use the following form to request samples. ALL FIELDS ARE REQUIRED Your full Name: Business Name: Business Phone: E-Mail Address: Business Address - No PO boxes: City: State: Zip: Business Tax ID: Number Of Employees: What model safety glasses are you using now?: What are you paying per pair now?: How many do you purchase annually?: Which Pyramex model(s) would you like to sample? (Prod Code):     Samples are sent from TN via USPS within a few business days. Please allow up to 2 weeks to receive your samples. If you need them sooner or have questions, please give us a call at: 1.888.475.5999

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