Critical Cleaning Detergents | Samples

Thank you for your interest in Alconox Inc. products. Please use the below form to tell us about your current cleaning application.

Standard sample size makes approximately 2 gallons of detergent solution (7.6 L). If you need a larger sample size, please indicate in comment field below. For more complex questions, please email us at cleaning@alconox.com.

To help us send the right samples for your application, please check all boxes that apply, or fill in where indicated.

Contact Information
Name*
First Last
Title
Company Name*
Address (non-PO box)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Mobile Phone
Work Email*
Cleaning Application
Describe your cleaning challenge for best detergent recommendation(s). Please focus on one specific application per request. If your request is for more than one application, please explain in comment fields below.
1. Industry
Industry Other:*
2. Job Function
Job Function Other:*
3. What surfaces are you cleaning?
Surface(s) Detail: Please Explain*
4. What residues are you cleaning off the surface?
Residue(s) Detail: Please Explain*
5. What do you use the cleaner for?
Use(s) Detail: Please Explain*
6. What cleaning method do you want to use?
Method(s) Detail: Please Explain*
7. What is your current cleaning product?
8. Describe the current cleaning problem:
9. Any special waste treatment/disposal concerns?
10. Additional Comments:
11. Some of our products, for shipping purposes, are classified as HAZMAT. Are you able to receive?*
- Yes
- No
Next Steps:
1. We may reach out with more questions to help with detergent selection. 2. Look out for an email to know when your sample has shipped. 3. We count on your feedback! So, you will receive a link to our short questionnaire to tell us how detergent testing went. 4. When you complete the questionnaire, you will automatically be entered into a raffle to win a pair of AirPods!
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