Secure online submission form. - Supplements Step 1 of 425%Company Name*Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* Services RequestedPlease fill out the fields below as best you can for your first product. You will have the option to add more products after completing this form.Product Name*Service RequestedYou will have the option to add more products after completing this form. If the service you require is not listed here please contact us for assistance toll free 1-855-FOOD-LAB. Dietary Supplement Facts Kit - Supplement Facts, Ingredients & Allergens starting at $399.95 FDA Compliance Review of Supplement Label Artwork $399.95 First, and $199.95 each additional when submitted together (must upload or email us artwork for quote) Bar Codes ($49.95 First, and $24.95 each additional)Number of Barcodes Requested?*Label Artwork File Upload (pdf, jpg, and zip files only)Please use this file uploader to attach label artwork for a Preliminary FDA Compliance Review. Larger files will need to be sent by email. Drop files here or Accepted file types: pdf, jpg, tiff, png, bmp, gif, zip.Do you have a chemical analysis already?*If you have sent a sample in to a chemistry lab for a nutrition analysis and would like us to use this data for the Nutrition Facts panel please select yes. If not, and you would like us to prepare the Nutrition Facts based on how the product is made please select no.YesNoPlease upload the certificate of analysis for this product here. Drop files here or Accepted file types: pdf, jpg, tiff, png, bmp, gif, zip.Rush OrderRush Orders are started once we receive payment and all questions are answered. Otherwise, typical Turn-Around time is 3 to 5 working days once we receive payment and all questions are answered.24 Hour (100% Mark-Up)48 Hour (50% Mark-Up)Typical Turn Around (3 to 5 working days) Product Information SectionQuantity of Contents:*(ex: 100 Tablets (2 g each) or 4 FL OZ or 4 OZ, etc)Suggested use:*(ex: 1-2 tablets, etc.)Package Dimensions (Inches)*Height x Width x Depth OR Height x Circumference (in inches). This helps us determine the appropriate format for the Nutrition Facts. We need to know the area of your package available for labeling, not the size of the label.Do you have additional package sizes for this same product?You will have the option to enter the additional package sizes below if selected. We charge $199.95 each to reformat additional Supplement Facts panels for different sized packages of the same product.NoYesAdd additional sizes below. (Click + on the right to add more) $199.95 eachQuantity of ContentsSuggested usePackage Dimensions Recipe Information*Individual Ingredient ListsWe need this information to prepare your ingredient statements and allergen statements. Please look on the packages of your ingredients and list out the ingredients on the package here.File Upload (zip, jpg, or pdf)(Optional) You may upload information about your ingredients here. Customers often upload pictures of the ingredients lists here rather than typing them out. Drop files here or Accepted file types: jpg, gif, png, pdf, zip, bmp.Does the product gain or lose weight during the process?*YesNoWeight Before Process?Weight after process?Finished % moisture (if known) Terms and ConditionsTerms of Service* Yes, I have read and accept Food Lab Inc.'s Terms and Conditions.SignaturePlease sign here using your mouse or stylus.CommentsThis field is for validation purposes and should be left unchanged.