Request a Sample

Contact an Engineer

Request a Tubing Sample

Please fill out the form below to request a product sample. Our medical tubing samples are typically provided in 12" lengths. Samples ship complimentary FedEx/UPS; please provide account number for overnight delivery. FedEx and UPS do not deliver to PO boxes.

First Name

Last Name

Email Address

Phone

Company Name

FedEx or UPS Account Number

Shipping Address

OD Dimensions or Wall Thickness

Dimension Type

ID Dimension

Braid/Coil Reinforced

PIC/WPI Count (If Known)

Message

Include a MicroLumen brochure with the sample.

I would like to receive product and sales emails. I agree to receive marketing emails from MicroLumen. I understand that I may unsubscribe at any time by following the unsubscribe link contained within the emails or by contacting MicroLumen.

I would like to receive news and events emails.I agree to receive general information emails from MicroLumen. I understand that I may unsubscribe at any time by following the unsubscribe link contained within the emails or by contacting MicroLumen.

I agree to the privacy policy.

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