Report Pulled Samples

Name: Forward Space
Address: 811 W Fulton Market, 5th Floor, Chicago, Illinois, 60607, USA
Telephone: (312) 563-5264

Please list any and all samples, cards, and brochures taken from this library so we know when to restock!

Name
First Last
List the sample number, name, and manufacturer of the samples/cards you pulled. If you took more than one of any sample, please mark how many you took.
If you pulled too many samples to write, you can line them up and take a picture for Concierge to note
Drop files here or

Accepted file types: jpg, png, Max. file size: 64 MB.
Please ensure the name and manufacturer are clearly visible. If you need to take multiple pictures, do that.
Do you plan on returning these samples?
- Yes
- No
If you do plan on bringing them back, please indicate when we should expect them back in stock
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