Please select the samples you would like to receive: AssurCard®AssurSeal®SecurSlide®MarBox-CR®AssurClam®AssurPouch®AssurPro® CartonAssurTin®Spray Bottle Please Select SecurSlide® Size(s) MatchBoxMatchBox 3MatchBox 4Oil CartridgeVape Pen Please Select AssurSeal™ Size(s) M112M70D75D88 Please Select Marbox-CR® Size(s) Slim 70Slim 112Max 120 Please Select AssurClam® Size(s) Small SquareChocolate Bar Please Select AssurTin® Size(s) 50mm75mm Please Select Spray Bottle Size(s) .5oz1oz2oz Your Information * required First Name* Last Name* Email* Company Name* Address* City* State* Zip Code* Phone Number Questions or comments Δ If you experience any difficulties using this form, please email us at info@assurpack.com, or call us at 1 844 842 2800.