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Product Sample Request Form

Thank you for considering Horsehead Corporation as a provider of your zinc oxide & zinc dust needs. Please complete this form to request a sample. Items marked with an asterisk (*) are required. We cannot ship to PO boxes, so please provide the actual street address. If you need assistance in selecting an appropriate grade for your application, please call the Technical Service number. We are very interested in learning how our products perform in your application and will follow-up with a phone call in a few months after sample shipment. Your cooperation in responding to our inquiry will be appreciated.


Company Name* Contact Name*
Address (line 1)* Address (line 2)
City* State/Country* Postal Code*
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