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Clean Label 10.22.21

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421 Seaman St. I Stoney Creek I Ontario, Canada I L8E 3J4 I 1.905.662.1127 I info@bartek.ca

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Sample Request Form

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Looking for a sample? You've come to the right place. Please fill out the form below and a member of our sample fulfillment team would be happy to assist you! To process your inquiry in a timely manner, we would like to ask you to respond to the questions in as much detail as possible.

Which product(s) are you interested in?*

Uphold^TM Bread Preservation Technology

Upscale^TM Artisan Bread Technology

Pecmate^TM Pectin Enhancer

Malic Acid

Fumaric Acid

Which application will you be using this sample in?*

Baked Goods

Confectionery

Beverage

Nutraceutical or functional foods/beverages:

Condiment or Fruit Preserve

Other Food or Beverage Product

Animal Nutrition Product

Pharmaceutical

Personal Care Product

Industrial Application

Please indicate specific application:*

Which baked goods will you be using this sample in?*

Traditional/White Bread (including sandwich rolls and pan breads)

Specialty/artisan breads (including multigrain and whole wheat)

Sweet baked goods

Cereal

Tortillas

Other

Untitled*

Which confectionery applications will you be using this sample in?*

VMS Gummy Formulating & Manufacturing

Confectionery Gummy Formulating & Manufacturing

Soft Chews

Other

Please indicate specific application:*

What is your objective? (select all that apply)*

Seeking new supplier for an already used ingredient

Reformulating an existing product with Bartek ingredient

Developing a new product

Functionality of ingredient(s)

Other

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What quantity sample are you seeking?*

Small (250 grams)

Medium (between 1-5 pounds)

Large (more than 5 pounds)

Thank you! Please let us know where to send the sample if the request is approved.

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