Request A Sample

Please use the form below to request samples. An AVX representative will evaluate your requirements and contact you within 48 hours to confirm your request.
Samples are not guaranteed to be free of charge. You will be contacted if payment is required for your samples.
First Name:*
Last Name:*
Title:
Email:*
Company:*
Region / Continent:*
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Address:*
City:*
State:
Postal / Zip Code:*
Country:*
Phone:*
Fax:
Market Sector:*
Application:*
Program:*
Part Number / Description:
Quantity:
Est Usage:
After clicking "Submit" button please wait until you receive
confirmation message that your submission was sent. Thank you