Oil Sand Sample Bank Request Form

Company Name
Date
Representative
Phone
Email

Shipping Address
Billing Address (Required if different than shipping address)


Ore Grade
                        Quantity
20 Litre Pail
10 Litre Pail
Low
Average
High


Oil Sand Samples are sold for CAD $350 per 10 litres
Available in 10 and 20 litre pails (10 litres equals 2.64 US gallons)

Payment and Shipping:
Upon receipt of this request InnoTech Alberta will prepare an Order Form which will include all applicable taxes, shipping costs and payment options. The order form will be sent back to requester.

Upon receipt of a signed copy of the order form and confirmation of payment, the oil sand sample will be shipped.

If you have questions regarding the sample bank, please contact Carla Lloyd at 780-450-4649 or carla.lloyd@innotechalberta.ca