Product Sample Request Form

USALCO® is pleased to provide a free sample of our chemicals to any qualified organization. We believe that once you have sampled our quality, delivery, price, and customer service, you will become a USALCO customer for life.

To request a free sample, you must submit the form below. Please be sure to describe your application so that we may qualify you more quickly. (Home hobbyists do not need to apply.)

2601 Cannery Ave.
Baltimore, MD 21226
Phone: (410) 918-2230
Fax: (410) 918-2240


  • (Since our products are hazardous, USALCO ships samples via Ground Service and only to a valid business address.)
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Please see our Privacy Notice pertaining to any information submitted to USALCO.


Convenient U.S. Locations: Ashtabula North, OH • Ashtabula South, OH • Baltimore, MD • Fairfield, OH • Gahanna, OH • Michigan City, IN • Port Allen, LA