Contact Info Company*Email* Name and Priority Customer Name for Project*This is a name offered by the customer to refer to their project.Project PriorityHave the customer rate this project's priority against other projects they would like us to consider.HighestHighModerateLowLowestIndifferentNot Applicable Packaging Container Type*Which container type are they requesting?BucketDrumToteTankerOther Other Container TypePlease describe the requested container type. Amount Filled Into Container*Filling Measurement Unit*Pick one:gal.Liter Product FormulaThe stock formula is presently described as the following. INCI ingredient list: 70% Ethanol, Aminomethyl Propanol, Carbomer, Glycerin, Water Formula Source*What is the source of the formula the customer is requesting?Requesting Stock FormulaRequesting Custom FormulaImporting Formula Import Formula Has the product formula been manufactured (filled and packaged) before?YesNoWill the customer be requesting alterations, additions, or troubleshooting for their formula?NoYes Please describe the changes the customer would like to be made to their formula. Product ClassificationWould the customer like the product to be certified, classified, or registered as any of the following? Certified Organic (USDA or ANSI/NSF 305) Fitting a Natural Design Philosophy Registered as an Over-the-Counter (OTC) Drug Registered as an FDA Medical Device Other Formula AvailabilityWhich of the following do they not have for their formula? A complete list of product ingredients Percentage of ea. ingredient required Supplier listed for ea. ingredient Product Specifications (pH, color, etc.) Processing Instructions Will the customer send a sample of their product formula to our laboratory for analysis?YesNo Product Formula Design Desired IngredientsIs there anything special they want used?Ingredients to AvoidIs there anything special they want avoided? Philosophy and RegulationWould the customer like their product to be certified, classified, or registered as any of the following? Certified Organic (USDA or ANSI/NSF 305) Fitting a Natural Design Philosophy Registered as an Over-the-Counter (OTC) Drug Registered as an FDA Medical Device Product DescriptionHow would they like this product to turn out? Fragrance Ingredient Will the formula product have a fragrance ingredient?*YesNoThey don't know yet.Have they sourced a fragrance?YesNo Fragrance RightsDo they have the rights to use the fragrance? (Sometimes manufacturers keep these rights from their clients. If so, then we'll need to find a new way to source their fragrance.)YesNoI don't know Fragrance SupplierWho is supplying their fragrance so that we can request a sample for development?Would they like BPI's list of preferred fragrance suppliers? Yes, they want some information about fragrance houses. Planning Market Release First Order Size*What is the customer's first order size likely to be (in packaging units like 'bottles')?First Year Volume*How many units is the customer estimating will be sold in the first year?Manufacture Date* Date Format: MM slash DD slash YYYY When does the customer want to place their order? Pricing Fair Price*What is a fair price for this product?Expensive Price*What is an expensive price?Prohibitively Expensive Price*What is a prohibitively expensive price?Deal SizeDeal Size First Year To finish, you just need to click 'Submit Request'... But before you do, you can choose to submit another project request. Or, if you want to pause, we'll send you an e-mail with a link to begin where you left off. Okay, what else would you like to do?*I'd like to add a bulk sanitizer project.I'd like to add a sanitizer SKU.I have no further project requests now.