Request Product Sample

Product*

NOT ALL PRODUCT SAMPLES ARE AVAILABLE IN EVERY REGION. IF YOU'RE INTERESTED IN A PRODUCT SAMPLE THAT IS NOT AVAILABLE IN YOUR REGION, COMPLETE THE FORM BELOW AND WE WILL CONTACT YOU TO DISCUSS YOUR NEEDS.

Region*

Do you currently purchase TiO₂?*

Yes
No

Which of the following best describes your company?*

Potential Annual Usage (TONS)

First Name*

Last Name*

Title

Company*

Address 1*

Address 2

City

State/Province/Region

Zip Code

Country*

Country

Phone Number

Fax Number

Email*

Please help us serve you better by indicating the specific application you have in mind for the selected pigment grades

Delivery Method

Standard delivery - Tronox Incorporated will pay GROUND shipping costs.
Overnight AM using provided account number.
Overnight PM using provided account number.
Second day using provided account number.

FedEx Account Number

UPS Account Number

Safety Data Sheets and Technical Data Sheets are included with all sample requests. Samples are approximately 2.0 lbs.
(~1 kg) if additional amounts are necessary, please provide details, and amount needed in the comment section below.

Comments*

Please have a technical service representative contact me to discuss my application.

I consent to my submitted data being collected and stored.*

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