Request for Sample
EN | DE Sitemap

Request for Sample

Please enter your required part number(s), quantity and address details in the appropriate fields below

Part Number 
1. Part Number  Quantity 
2. Part Number  Quantity 
3. Part Number  Quantity 
4. Part Number  Quantity 
5. Part Number  Quantity 
Address Details 
First Name 
Last Name * 
Position 
Company * 
Division * 
Street * 
Postcode * 
City * 
Country * 
Phone * 
E-Mail * 
Shipping 
Shipping   
Account Number *  
Project information 
Application * 
Project name * 
Yearly demand * 
Project duration * 
Start of production * 

Please ensure that all mandatory fields, marked with an *, are filled out – or specification is attached – and click on the “send” button. Your request will then be submitted. You will shortly receive a copy of your request via e-mail.

Requests will be forwarded to your local distributor.

Free of charge samples can only be authorised after your request has been entered into the Fabrimex Customer Support System and your local distributor has contacted you. In case that you won’t receive any feedback to your request within 3 working days, please contact: info@fabrimex.com