Online Ordering for Check Sample Program

Online Sample Ordering

Please indicate to the left of each item the number of samples you want in the box. Note that the default value is 0 (1 indicates one sample for each of the eight individual series). All prices are in U.S. dollars.

If you have questions, please contact Jennifer White Gradnigo at jennifer@corn.org and include “CCSP Inquiry” in the subject line or call (202) 331-1634.

Quantity Sample Type Price per sample
High Fructose Corn Syrup $174
Corn Syrup $174
Corn Starch $150
Coproducts $150
Maltodextrin $150
Citric Acid $150
Billing address for samples/contact person
Name*
Company*
Address*
Address Line 2
City*
State/Province/Region*
Zip/Postal Code*
Country*
Phone* (include country code)
Fax (include country code)
Email*
Verify Email*
Shipping address for samples/contact person
Name*
Company*
Address*
Address Line 2
City*
State/Province/Region*
Zip/Postal Code*
Country*
Phone* (include country code)
Fax (include country code)
Email*
Verify Email*

Unless otherwise specified by the participant, all results will be available online. Please provide an accurate email address as it will serve as the primary means of communication about the program.
Purchase Order Number
Quickbase Emails*
Provide the email address of the person(s) entering your data into Quickbase. If more than one person, separate each email address with a comma.
Comments

*Required fields

*The listed price does not include shipping and other fees, which will be added to your invoice.