Healthy Solutions, LLC NSF Certified Contract Liquid Manufacturer, cGMP Compliant Contract Liquid ManufacturercGMP Certified
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Crème Manufacturer
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We appreciate the opportunity to quote your formula. Please complete and submit this form. A customer service representative will respond within 24 hours. All information is strictly confidential and will remain so.

 
Company name:    
Contact first name:    
Contact last name:    
Sales Rep:    
Street address:    
City:    
State:         Zip/Postal code:  
Country:    
Phone number:     - -  ext.
Fax number:     - -  ext.
Email address:     @
Product Description:

Product name:    
Product description:    
Service Requested:   
  Manufacturing only      Manufacturing and Packaging       Packaging only
Quote for qty. of:    
Expected order date: / /
Price point per item:    Min    Max

Liquid dietary supplement     Creme      Lotion      Gel      Powder     Other
Viscosity:   (eg. thick paste, syrup, free flowing liquid, etc)
Flavor:  
Scent:  
Color:  
pH:  
Sample of the product available? Yes     No
Sample of a similar product? Yes     No

Samples provide Healthy Solutions with a wealth of information. Providing a sample greatly increases the accuracy of our quote and significantly reduces the amount of revisions necessary to produce an acceptable formula. If you do not have a sample please provide a short description of the product. i.e. look, taste, texture etc...

Sample Description:   
 
Package Description:

Bottle/Jar:
Packaging:    
Size:    
Shape:    
Color:    
Glass or Plastic:     Glass   Plastic
Cap type:    
Inner seal:          heat induction (foil)      pressure sensitive (foam)
Outer seal:          neck band                  full body sleeve
Customer supplied label:     yes       no
Packet/Pouch
Size:    
Bulk:
Bulk Container Size:    
Scooper:     yes       no
Product Packing:

Case Pack:     per case
Additional packaging:    Does your finished product require any
additional packaging or kitting? i.e. a retail box.    
  Yes No
  If yes, please describe packaging or provide a sample.
 
Formula:

Serving size:   
# of servings per container:  

Ingredients: Qty: Preferred Source:

Special instructions