Tech Request Form Tech Request Customer Information Project # Date Submitted Date Promised Sales/Submitter Customer Name Contact Person Contact Title Address Address Address Line 1 Address Line 1 Address Line 2 Address Line 2 City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Email Phone Project Objective / Overview Provide any Information on how the customer will evaluate our products, goals, sensory, stability, processing, nutritional requirements, etc. Visual Text General Project Information Product Category Frozen Cultured Beverages Bakery Misc. Volume Volume Type Total Finished Good Volume Total Stabilizer Blend Volume Target Price / lbs. Current Customer? (Past existing PO's) Yes No Special Requirements None Kosher Whole Foods Non-GMO Trader Joe's Halal No Sugar Added Organic Plant Based Ingredient Exclusions? Is this a matching request? Yes No Existing PFI # If applicable Target market Product Control sent to Elgin team? Yes No Ingredient legend match? Yes No Nutritional match? Yes No Sample Request Sample needed? No Yes, dry blend Yes, finished product Sample size Additional testing needed? heat shock, shelf life, gel strength, etc. COA required? Yes No COA type Standard COA Additional requirement(s) COA List additional COA requirements if applicable Note: 5 day lead time required for additional requirement(s) COA Submit If you are human, leave this field blank.
