Helix Medical, LLC Your Medical Technology Specialist

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Product Sample Request

The HelixMark Sample Pack includes: Standard Tubing, Color Stripe Tubing, Braided Reinforced Tubing, Stopper and Gasket. See below to specifiy additional product samples from our catalog.

Samples are filled weekly although rush requests can be processed if time requirements are specified in the comments section.

Name*
Company
Phone*
Fax
Email*
Address*
Address
City*
State*
Zip*
Country*
  *Required Field
Need a specific sample size? Check the HelixMark catalog and specify the reference number below.
Product Number(s)
Length
1
2
3
4
Please also include:
HelixMark Product Catalog  
Information on Medical Device Custom Manufacturing Services
Comments