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Request Teknipart Samples

To request up to x3 samples** please fill in the below and tick up to x3 products.

**Subject to Availability**

*Indicates required field

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Main Details
First Name* {{form.fields.first_name.view}}

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Surname* {{form.fields.last_name.view}}

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Company Name {{form.fields.company_name.view}}

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Position {{form.fields.job_title.view}}

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Email address* {{form.fields.email.view}}

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Phone* {{form.fields.phone.view}}

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Address Details

Use our quick address finder, first enter your post code and click Find. Then select the correct house or unit number. If need be please add in extra address details in the first address line.

Post Code {{form.fields.zip.view}} Find
Post code finder for UK only, if non-UK address please enter manually.

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Address Line 1* {{form.fields.address_1.view}}

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Address Line 2 {{form.fields.address_2.view}}

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City* {{form.fields.address_3.view}}

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County/Province* {{form.fields.address_4.view}}

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Country {{form.fields.country.view}}

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If you have any other information or require a specific thread size, please let us know below.

Notes {{form.fields.notes.view}}

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Please Note: You can only select a maximum of 3 products

N0001 - Nylon Cheese Slotted Screws

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N0400 - Nylon Flat Washers

{{form.fields.wants_n0400.view}}

N0500 - Nylon Hex Nuts Coarse Thread

{{form.fields.wants_n0500.view}}

N0540 - Aluminium Nut Covers

{{form.fields.wants_n0540.view}}

A0013 - Aluminium Hex Bolts

{{form.fields.wants_a0013.view}}

A0400 - Aluminium Plain Washers

{{form.fields.wants_a0400.view}}

A0501 - Aluminium Hex Nuts

{{form.fields.wants_a0501.view}}

S0203 - Stainless Pan Head Screws

{{form.fields.wants_s0203.view}}

S0115 - Stainless Thumb Screws

{{form.fields.wants_s0115.view}}

S0274 - Stainless Shoulder Screws

{{form.fields.wants_s0274.view}}

O8000 - Ribbed Inserts


{{form.fields.wants_o8000.view}}

M8000 - Levelling Feet


{{form.fields.wants_m8000.view}}
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