Sample request form template makes it easy to request product or service examples from customers or partners. Use this free template to collect sample requests for marketing campaigns, promotions, or customer evaluations.

This template includes fields to capture the person requesting samples, an ID number, email, phone number, reason for the request, and preferred day of pickup. Each question is straightforward to ensure quick completion and accurate responses. You can upload a logo and adjust the background color to match your brand.

Ideal scenarios include marketing teams distributing promotional samples, sales reps handling sample fulfillment, and businesses running product trials or feedback surveys. The form works on desktop and mobile, and you can embed it on your website or share via link. If you charge for samples you can enable payment collection via PayPal, Stripe, or Square.

Click "Use This Template" to customize and deploy the sample request form template.