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Contract Bottling Questionnaire


Complete the Private Label & Bottling Questionnaire to request a quotation for bottling services.





Name: Title:

Company: Email:

Shipping Address: Billing Address:

Phone Number: Alternate Phone Number:

Fax Number: Website URL:

Tax ID Number: Years in Business:

How did you find Nicotine Giant?


About Your Products


How many unique e-juice flavors do you need bottled and labeled?

How many nicotine levels needed?

What is your expected number of bottles per month?

This product currently being manufactured by:

If another manufacturer, what is your reason for investigating a different manufacturer?
If you selected Other, please explain:

At what retail price range are you looking to sell your product?

What is the target date you want your product to go to market?

Do you have samples of e-juice flavors?

Would you prefer glass or plastic dropper bottles, and what size would you like us to use?
Bottle Size(s) Customer Provided

Will you require Label Design Services?

If label art already exists, will you be providing us with printed labels or would you like us to include label printing with your order?

Please enter the following code into the box provided:



How do I contact you?
  Please click here for our company contact information.