Oil Sand Sample Bank Request Form

InnoTech Alberta Sample Bank – Oil Sand Request Form

Company Name
Date
Phone
Fax
Email
Representative
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.