Sample Request Form

Sample Request Form

(Please Note - If your company doesn’t have DHL / FedEx Account please email and request for freight cost and invoice, once freight cost is paid, please email paid receipt so that we can send samples immediately).

Sample of 50 grams only can be sent which are free. For more quantity the buyer would need to pay for the samples (apart from the International Freight cost) which is USD $50 for each commodity. This includes sample cost + government documentation.

1 / Company Name / VVRS Australia Pty LTD (Example only)
2 / Contact Person Name / Tony (Example only)
3 / Company Address (Detailed) / VVRS Australia (Example only) 7/871 Boundary road coopers plains,
QLD 4108, Brisbane. Australia
4 / Post code / Zip code (required) / 4108 (Example only)
5 / Country / Australia (Example only)
6 / Company Phone number 1 / +61 2 802 28423 (Example only)
7 / Company Phone number 2 / +61 7 350 36778 (Example only)
8 / Company Phone number 3 / +61 3 994 84091 (Example only)
9 / Mobile Number / 888888 (Example only)
10 / Fax Number / N/A (Example only)
11 / Company’s Email Address / (Example only)
12 / Do you have DHL / FEDEX Account number / Yes / No (if yes please answer Questions from13 to 23, if No please Answer questions from 24 to 26)
13 / Company’s DHL / FEDEX /
Account Number / 12345 (Example only)
14 / Company’s DHL / FEDEX
Account Name / VVRS Australia Pty LTD (Example only)
15 / Company’s DHL / FEDEX
Account Address / VVRS Australia (Example only)
16 / Company’s DHL / FEDEX
Account contact name / Tony (Example only)
17 / Samples Details / (Example only) We require chickpeas 100grams, palm oil 1L, sunflower oil 2 L, canola oil, milk powder 100grams, wheat 50 grams, barley,
18 / To (Receiver Company Name) / VVRS Australia Pty LTD (Example only)
19 / Detailed Delivery Address (we can not deliver to a PO Box) / VVRS Australia (Example only) 7/871 Boundary road coopers plains,
QLD 4108, Brisbane. Australia
20 / Post code / Zip code (required) / 4108 (Example only)
21 / Country / Australia (Example only)
22 / Contact person (Receiver’s name) / Tony (Example only)
23 / Contact Phone Number / +61 2 802 28423 (Example only)
24 / Is Freight cost prepaid? / YES / NO (If you don’t have DHL / FedEx A/c Please request Freight cost and invoice from VVRS Australia and then complete the sample request form. )
25 / Is samples cost prepaid? / FREE / YES / NO (Some samples are Free and some samples are charged, please and check it )
26 / Is paid receipt emailed? (Please email Paid receipt and sample request form to ) / YES / NO

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VVRS AUSTRALIA PTY LTD – “ Australia’s Leading Global Commodity Trading Company”

Warehouse Address: 7 / 871 Boundary Road, Coopers Plains, Queensland 4108 Brisbane - AUSTRALIA

Postal Address: 1/26 Wallaroo Way, Doolandella, Queensland 4077 Brisbane - AUSTRALIA

For all Payments: P.O Box:963 Archerfield, Queensland 4108Brisbane - Australia

For all Sales enquiries Please Call any one of the office or Email:

Brisbane: +6173503 6778 Sydney +61 2 80228423 Melbourne +61 3 9948 4091 FAX : +61731124056

Email: Website