LubeWear Swift Global Sample Collection Pickup Request

Note:This form is for the collection of samples.

Fill in your details and sign below to generate the PDF documents for shipping and customs clearance.

Sample Information

Provide one bottle label of a sample in the package (e.g. K123456)*

Number of samples in this package *

Your Information

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Company Name *

Country Shipping From *

Your Tax Identifier *

Address for Pickup Of Samples *

Contact Person *

Phone (including country code e.g. +44) *

Email Address (shipping label will be sent to this email) *

Shipment Details

Package Weight (kg) *

Note: Total weight of package including contents. If you have multiple packages, please group all smaller packages into one larger box package for shipment.

Package Dimensions (cm) *

↔ Length (cm)

↔ Width/Depth (cm)

↕ Height (cm)

Volumetric Weight (Auto-calculated)

Calculated automatically

Formula: (Length × Width × Height) ÷ 5000 - Updates automatically as you enter dimensions

Signature *

Please sign in the box below using your mouse or touchscreen:

Signature is required

Verification Check *

Please enter the last 6 digits of the LubeWear Swift courier collection number on your box/bag: