Patriot Shield Security - Lab Request

FOR LABS ONLY - PLEASE FILL OUT ONE FORM PER LAB

Labs may request hemp to be transported to them.

Registered Business Name

License or Permit Number

Location of Lab: Street Address

Location of Lab: Address Line 2

Location of Lab: City

Location of Lab: State

Location of Lab: ZIP Code

Point of Contact: Lab Contact Full Name

Point of Contact: Lab Name

Point of Contact: Lab Billing Address

Point of Contact: Address Line 2

Point of Contact: City

Point of Contact: State

Point of Contact: ZIP Code

Point of Contact: Lab Phone Number

Point of Contact: Lab Email Address

Amount of Hemp needed

Price per pound willing to pay

Buying or owned?

Intake or purchase date

Lab Pricing: Crude (cost/charge for each tolling stage)

Lab Pricing: Distillate (cost/charge for each tolling stage)

Lab Pricing: T-Free (cost/charge for each tolling stage)

Lab Pricing: Isolate (cost/charge for each tolling stage)

What kind of lab are you?

Do you offer any split tolling?

Total Capacity (lbs per day)

Available Capacity (lbs per day)

Projected Capacity (lbs per day)

What is your desired product? (Please write ALL that apply)

Do you already have a distribution plan?

Would you like help selling your product?

Do you have contracts in place for distribution?

Do you need transportation services?

Do you work with any extraction/processing labs?

What price per pound are you hoping to achieve?

Do you need warehousing services?

What % of your product, if any, is pre-sold?

Hemp Dig is a referral marketplace for the hemp industry, worldwide. For more information on joining, click here.

FDA DISCLOSURE: Representations regarding the efficacy or safety of hemp or hemp products, including cannabidiol (CBD) or any other compound which may be present in hemp, have not been evaluated by the Food and Drug Administration (FDA). These products are not intended to diagnose, prevent, treat, or cure any disease. Please consult with your health care professional before using any hemp product. The CBD found in products listed on Hemp Dig is required to have been derived from hemp produced in the United States. Hemp Dig does not authorize or permit the sale or distribution of any products in violation of the federal Controlled Substances Act. No hemp products advertised or sold through Hempdig.com may contain more than 0.3% delta-9-tetrahydrocannabinol (THC).

Patriot Shield Security - Lab Request

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