Company Information:
Company Name:
Contact Name:
Address:
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Country:
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Web Address:
Product Information
Product Name:
Volume:		Initial order volume: Projected annual volume:
Product Type:		Uncoated Tablet Veggie Capsules Color Coated Tablet Clear Coated Tablet Two piece hard gelatin Capsules Chewable Tablet Enteric Coated Tablet Soft gel Capsules
Product Size:		For tablet (Punch size if known): For Capsule: 00 0 1 2
Product formulation and OR list of active ingredients:
Product sample if existing product: Yes No
Packaging: Bottling
Bottle Size:
Bottle Shape:
Bottle Materia:		Plastic HDPE PET Glass
Cap type / size:		Regular CRC Hinged
Tablet/capsule count per bottle:
Cotton / Rayon: Yes No Desiccant: Yes No Induction seal: Yes No Neck band: Yes No Unit Carton: Yes No Safety seal on Unit Carton: Yes No Insert (Brochure / pouch of other product) Yes No Unit tray: Yes No Shrink bundle of bottles/unit cartons: Yes No
Quantity:		Bottle: Bulk:
Comments: