MAIL ADDRESS: P.O. Box 44380, Lemon Cove, CA 93244 USA

INTERNET WEBSITE: http://www.garudaint.com
PHONE: +1 559-594-4380 - FAX: +1 559-594-4689

MANUFACTURER'S INFORMATION REQUEST FORM

Please Note: This form is to be used only by qualified manufacturers and distributors of foods, nutraceuticals, beverages cosmeceuticals and pharmaceuticals. For all consumer inquiries, please use our

CONSUMER INFORMATION REQUEST FORM >>

Requests for Samples
Samples may only be obtained by faxing your request on your official company letterhead / stationery to
1-559-594-4689

* = Required Field

*First Name:		*Last Name(surname):
Title / Position:		Job Function:
*Company Name:
*Street Address:
*City:		State or Province:
*Country:		Postal Code:
Email Address:		Company website:
Telephone:		Fax:
In U.S.A. please include area code. If outside U.S.A. please include city and country codes

How would you like to be contacted? (check all that apply):
Email	Fax
Air Mail	Telephone

What is your company type? (check all that apply):
Trading Company	Bakery Product Manufacturer
Importer / Distributor	Snack Foods Manufacturer
Commissioned Agent	Healthy or Dietetic Foods Manufacturer
Consultant	Cosmetics Manufacturer
Government Office	Dietary / Nutritional Supplement Manufacturer
Beverage Manufacturer	Pharmaceuticals Manufacturer
Dairy Products Manufacturer	Other Manufacturer (please list below)
If "Other" checked, please list:

Comments:

Product(s) for which you would like information:	Your Product Application:
Coriolus versicolor (Tremetes) Mushroom Extract 8:1 - COREXT
Acesulfame-K - ACEK
Agaricus (Agaricus blazei) Mushroom Extract Powder 4:1 - AGAREXT4
Agaricus (Agaricus blazei) Mushroom Powder, Certified Organic - AGARMUPW-O
Agaricus (Agaricus blazei) Mushrooms, Dried - AGARMUSHWH
Agaricus blazei Mushroom Powder - AGARMUSHPW
Aloe Vera 10X Liquid Concentrate (Cosmetic) - AVC10XC
Aloe Vera 10X Liquid Concentrate (Food Grade) - AVC10XFR
Aloe Vera Gel Freeze-Dried Powder, 200:1 - AVGFDPW200
Aloe Vera Gel Powder, Dehydrated - AVGDPW
Aloe Vera Gel Spray Dried Powder - AVSPPWDR
Aloe Vera Gel Spray-Dried Powder, 200:1 - AVGSDPW200
Aloe Vera Oil Extract - AVOIL
Amaranth Grain - AMAGRAIN
American Ginseng Fiber - GINAMFIB
American Ginseng Prong - GINAMPR
American Ginseng Small Root - GINAMRTS
Azodicarbonamide 23% - ADA23
Azodicarbonamide FCC Grade (98%) - ADAFCC
B-CAN Beta 1, 3 D-Glucan - BGLUCAN
B-CAN™ 55% Oat Beta Glucan - OGLUCAN
B-CAN™ 70% Oat Beta Glucan - OGLUCAN70
B-CAN™ Certified Organic Oat Beta-Glucan 70% - OGLUCAN70-O
Chaga (Inonotus obliquus) Mushroom Extract 8:1 - CHAGEXT8
Chaga (Inonotus obliquus) Mushroom Powder - CHAGMUSHPW
Chaga (Inonotus obliquus) Mushroom Powder, Certified Organic - CHAGMUSPW-O
Chaga (Inonotus obliquus) Mushroom, Dried Pieces - CHAGMUSWH
Conjugated Linoleic Acid Triglyceride Powder - CLATP
Cordyceps Mycelia Cs-4 - CRDMYCPW
Cordyceps Mycelia Extract - CRDMYCX4
Cordyceps sinensis Mycelium Extract Powder CS-4 (2:1) - CRDMYCEX
Coriolus Coriolus versicolor (Tremetes) Mushroom Extract, Certified Organic - COREXT8-O
COWCIUM Natural Milk Calcium 24 - MILCAL24
COWCIUM® Natural Milk Calcium 24M - Milcal24M
COWCIUM® Natural Milk Calcium 26 - MILCAL26
COWCIUM® Natural Milk Calcium 26M - MILCAL26M
COWCIUM® Natural Milk Calcium 28 LF - MILCAL28LF
COWCIUM® Natural Milk Calcium FG - MILKCALFG
Fu-Ling (Poria Cocos) Dried Mushrooms - PORIMUSWH
Fu-Ling (Poria cocos) Mushroom Extract 2:1 - PORIEXT2
Fu-Ling (Poria cocos) Mushroom Powder - PORIMUSPW
Genesis R&D - GENR&DWIN
Genesis® R&D SQL - GENESISSQL
Hericium (Hericium erinaceus) Mushroom Powder, Certified Organic - HERMUPW-O
Jerusalem Artichoke Flour Bulk (Ibs) - JAFBULKLB
LesstanoL® Policosanol-D - Polico-D
LesstanoL® Octacosanol 95 - OCTA-95
LesstanoL® Octacosanol GF - OCTA-GF
LesstanoL® Policosanol 30 - OCTA-30
LesstanoL® Policosanol 60 (Polycosanol) Raw Material - OCTA-60
Maitake (Grifola frondosa) Mushroom Extract 4:1 - MAIEXT4
Maitake (Grifola frondosa) Mushroom Extract 8:1 - MAIEXT
Maitake (Grifola frondosa) Mushroom Powder, Certified Organic - MAIMUSHPW
Maitake (Grifola frondosa) Mushrooms, Dried Whole, Certified Organic - MAIMUSHWH
Maitake Mushroom Bio-enhanced, Certified Organic - MAIMUPWE-O
Maitake Mushroom Extract 4:1, Certified Organic - MAIEXT4-O
Maitake Mushroom Extract Standardized, Certified Organic - MAIEXT8-O
Octacosanoic Acid (90%) - OCTACID90
Oyster (Pleurotus osteatus) Mushrooms, Dried Whole - OYSTMUSWH
Oyster (Pleurotus ostreatus) Mushroom Extract 4:1 - OYSTEXT4
Oyster (Pleurotus ostreatus) Mushroom Powder - OYSMUSHPW
Oyster (Pleurotus species) Mushroom Extract, Certified Organic - OYSEXT4-O
Oyster (Pleurotus species) Mushroom Powder Bio-enhanced, Certified Organic - OYSMUPWE-O
Pea Fiber (Fibre), Food Grade  - PEAFIBFG
Pea Fiber (Fibre), Whitened - PEAFIBWF
Phytonol&trade Phytosterols - PHYTOSTR
Polydextrose II - POLIDEX2
Proti-GERM™ Defatted Wheat Germ DTC - DWGERMDTC
Proti-GERM™ Defatted Wheat Germ DTC-CS - DWGERMDTC-CS
Proti-GERM™ Defatted Wheat Germ LTG - DWGERMLTG
Proti-GERM™ Defatted Wheat Germ MTF - DWGERMMTF
Proti-GERM™ Defatted Wheat Germ MTFG - DWGERMMTFG
Proti-GERM™ Defatted Wheat Germ RC - DWGERMRC
Proti-GERM™ Defatted Wheat Germ RF - DWGERMRF
PuntiaVera® Nopal Powder (Opuntia ficus indica) - NOFIPM120-O
Puric TM Yucca Extract Powder for Waste Treatment - YUCEX80
Quillaja (Quillaia) Refined Saponins Raw Material - 20% - QUSAPR20
Quillaja (quillaia) Refined Saponins Raw Material - 70% - QUSAPR70
Quillaja (Quillaia) Saponaria Extract Powder, 100% Food Grade Raw Material - QUEXT100
Reishi (Ganoderma lucidum) Mushroom Alcohol Extract 12:1 - RREXTR
Reishi (Ganoderma lucidum) Mushroom Extract 4:1 - RREXT4
Reishi (Ganoderma lucidum) Mushroom Extract 4:1 -- Certified Organic - REIEXT4-O
Reishi (Ganoderma lucidum) Mushroom Extract Standardized -- Certified Organic - REIEXT15-O
Reishi (Ganoderma lucidum) Mushroom Powder - REIMUSHPW
Reishi (Ganoderma lucidum) Mushroom powder bio-enhanced -- Certified Organic - REIMUSPWE-O
Reishi (Ganoderma lucidum) Mushroom Water Extract Powder 12:1 - RREXTRW
Reishi (Ganoderma lucidum) Mushrooms, Certified Organic - REIMUSH
Reishi (Ganoderma lucidum) Mycelium Biomass, Certified Organic - REIMYC
Reishi (Ganoderma lucidum) Mycelium Extract 20:1, Freeze-Dried REM - REMEXTF
Reishi (Ganoderma lucidum) Mycelium Extract Powder 6:1 - REMEXT
Reishi Mycelia 100 - REIMYCLCP
Reishi Mycelia Polysaccharide - REIMYCPS
SelenoExcell High Selenium Yeast Powder Raw Material - SELENOEXCELL
Shiitake (Lentinula edodes) Mushroom Bio-enhanced, Certified Organic - SHIMUSPWE-O
Shiitake (Lentinula edodes) Mushroom Extract Powder 4:1 - SHIEXT
Shiitake (Lentinula edodes) Mushroom Extract, Certified Organic - SHIEXT4-O
Shiitake (Lentinula edodes) Mushroom Powder - SHIMUSPW
Shiitake (Lentinula edodes) Mushroom Water Extract 8:1 - SHIEXT8
Shiitake (Lentinula edodes) Mushrooms, Dried - SHIMUSWH
Shiitake (Lentinula edodes) Mushrooms, Sliced & Dried - SHIMUSSL
Shiitake (Lentinula edodes) Mycelia Polysaccharide - SHIMYCPS
Shiitake (Lentinula edodes) Mycelium Biomass, Certified Organic - SHIMYC
Shiitake (Lentinula edodes) Mycelium Extract 20:1, Pure Freeze-Dried LEM - LEMEXTF
Shiitake (Lentinula edodes) Mycelium Extract 6:1, Standardized LEM - LEMEXT
Tertiary Butylhydroquinone (TBHQ) - TBHQ
Tertiary Butylhydroquinone (TBHQ) 20 % - TBHQ20
Tremella fusciformis Mushroom Extract Powder 4:1 - TREMEXT4
Tremella fusciformis Mushroom Powder - TREMMUSPW
Tremella fusciformis, Dried Whole Mushrooms - TREMMUSWH
Tremella Mushroom Powder - TREMUPW
VEGE-COAT - VEGE-COAT
Yucca Schidigera Extract NP Raw Material (Food Grade) - YUCEXTNP
Yucca Schidigera Extract Powder 30 - Raw Material - YUCEXT30
Zhu-Ling (Polyporus umbellatus) Dried Mushrooms - POLMUSWH
Zhu-Ling (Polyporus umbellatus) Mushroom Extract Powder 15:1 - POLEXT15
Zhu-Ling (Polyporus umbellatus) Mushroom Powder - POLMUSPW

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