To a request a sample, please fill out the form below with your contact information and check off the samples you wish to receive. (Note: We cannot ship to P.O. boxes)

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Please check here if you would like to receive information from Esschem and its affiliates on new and upcoming products. *Required field Esschem offers its products in bulk for manufacturing, processing or repackaging only. Minimum     order quantities will apply. The purchaser's finished product for end-use application based on these components may require compliance with applicable product regulations, including those promulgated by the United States Food & Drug Administration.   Product List for Medical & Audiology: Please check all products that you wish to receive a sample. Bone Cement Polymers† Description PMMA Bone cement PMMA/Polystyrene copolymer PMMA/Methyacrylate copolymer bone cement   †Please indicate MW residual BPO level and particle size distribution for all bone cement requests in comment section below     Acrylic Shells and Earmolds Code Description Z 640 0032 Clear (Audacryl HC) Z 640 1199 Tinted (Audacryl HC) Z 640 1200 Flesh (Audacryl HC) Z 650 0039 Clear (Audacryl RTC) Z 650 2145 Tinted (Audacryl RTC) Z 650 2146 Flesh (Audacryl RTC)      Impression Materials Code Description Z 671 6301 Green (V-Sil Putty) Z 600 0000 Audalin     Useful Companion Products Code Description Z 680 6401 Pink (Audiloid®) Z 680 6400 Clear (Audiloid®) Z 780 0000 Audalite® AD Z 788 0000 Audalite AL                     Earmolds and Flexible Tips Code Description Z 610 0020 Clear (Audiflex HC) Z 610 1197 Tinted (Audiflex HC) Z 610 1198 Flesh (Audiflex HC) Z 620 0106 Clear (Audiflex RTC) Z 620 2143 Tinted (Audiflex RTC) Z 620 2144 Flesh (Audiflex RTC) Z 640 0032 Clear (Audacryl HC) Z 640 1199 Tinted (Audacryl HC) Z 640 1200 Flesh (Audacryl HC) Z 650 0039   Clear (Audacryl RTC) Z 650 2145 Tinted (Audacryl RTC) Z 650 2146 Flesh (Audacryl RTC) Z 673 6301 Light pink (V-Sil EM Fluid HC; DH=30) Z 673 6302 Yellow (V-Sil EM Fluid HC; DH=30) Z 673 6303  Red (V-Sil EM Fluid HC; DH=30) Z 673 6304 Green (V-Sil EM Fluid HC; DH=30) Z 673 6305 Blue (V-Sil EM Fluid HC; DH=30) Z 673 6401 Light pink (V-Sil EM Fluid HC; DH=40) Z 673 6402 Yellow (V-Sil EM Fluid HC; DH=40) Z 673 6403 Red (V-Sil EM Fluid HC; DH=40) Z 673 6404 Green (V-Sil EM Fluid HC; DH=40) Z 673 6405  Blue (V-Sil EM Fluid HC; DH=40) Z 674 6301 Light pink (V-Sil EM Fluid RTC; DH=30) Z 674 6302 Yellow (V-Sil EM Fluid RTC; DH=30) Z 674 6303 Red (V-Sil EM Fluid RTC; DH=30) Z 674 6304  Green (V-Sil EM Fluid RTC; DH=30) Z 674 6305 Blue (V-Sil EM Fluid RTC; DH=30) Z 674 6401 Light pink (V-Sil EM Fluid RTC; DH=40) Z 674 6402 Yellow (V-Sil EM Fluid RTC; DH=40) Z 674 6403 Red (V-Sil EM Fluid RTC; DH=40) Z 674 6404 Green (V-Sil EM Fluid RTC; DH=40) Z 674 6405 Blue (V-Sil EM Fluid RTC; DH=40)     Comments: Please indicate custom shades, MW residual BPO level and particle size distribution for all bone cement requests, or other comments here.

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