Please fill out the form below to request Amba Promotional Material. Name(Required) First Last Email(Required) Phone(Required)Requestor(Required)End UserShowroomSales RepCompanyRep Company Name(Required)Showroom Name(Required)Company Name(Required)Shipping Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country BINDER INSERTS / SELL SHEETSLITERATURE Amba Catalog 2024.9 (Box of 35 or individual qty) Amba Price List USA 2024.9 (Pack of 25 or individual qty) Amba Price List Canada 2024.9 (Pack of 25 or individual qty) Amba Brochure (Pack of 50 or Individual qty) Bacteria Sheet 2022 (Pack of 50 or individual qty) Amba S/H rates 2024 (Individual qty) Amba Products Binder (Full or Empty - Max 12) Amba Catalog(Required) Box of 35 Individual Qty Amba Catalog Qty(Required)Amba Price List (USA)(Required) Pack of 25 Individual Qty Amba Price List (USA) Qty(Required)Amba Price List (Canada)(Required) Pack of 25 Individual Qty Amba Brochure(Required) Pack of 50 Individual Qty Amba Brochure Qty(Required)Bacteria Sheet(Required) Pack of 25 Individual Qty Bacteria Sheet Qty(Required)Amba Shipping and Handling Rate Sheet Qty(Required)Amba Products Binder(Required) Empty Full Empty (3-ring binder only) or full (including catalog)Amba Products Binder Quantity(Required)Please enter a number less than or equal to 12.Max 15Other Promotional MaterialMISC MATERIAL Door Hanger Finish Sample Rings (Limit 1) Amba Pen Amba T-Shirt (M,L,XL) Amba USB Drive Door Hanger Qty(Required)Pen Qty(Required)USB Qty(Required)Amba T-Shirt(Required) Medium Large Extra-Large LIMIT 2 PER SIZE PER REQUESTMedium T-Shirt Qty(Required)Please enter a number from 1 to 2.Max 2 Large T-Shirt Qty(Required)Please enter a number from 1 to 2.Max 2Extra Large T-Shirt Qty(Required)Please enter a number from 1 to 2.Max 2Promotional Material Request Agreement(Required) I agreeBy checking the "I Agree" box and submitting this form, you acknowledge and agree to the following terms: Nature of Request: This form is a request for free promotional material provided by Amba Products. This is not a binding order nor does it create a binding agreement. Availability on a First-Come-First-Serve Basis: Our promotional materials are distributed on a first-come-first-serve basis. While we strive to accommodate all requests, we cannot guarantee the availability of specific materials at the time of your request. No Guarantee of Fulfillment: Submission of this request form does not guarantee that your request will be fulfilled. The fulfillment of requests is subject to the availability of materials and our discretion. Right to Refuse or Modify Requests: Amba Products reserves the right to refuse any request or modify the quantities of materials requested. This may occur particularly if the quantities requested are outside of what we consider acceptable or reasonable. Evaluation and Processing of Requests: All requests will be evaluated and processed in the order in which they are received. We appreciate your understanding that due to the volume of requests, there may be delays in processing. By submitting your request, you agree to these terms and acknowledge that your request is subject to our review and approval based on the criteria outlined above. We appreciate your interest in our materials and thank you for your understanding.LitRequestIDNameThis field is for validation purposes and should be left unchanged.