At Superior Glove, we are very interested in your needs and opinions. However, our sample request form is intended for companies, rather than personal use. Please provide valid company contact info and we will respond as quickly as possible. If you have any questions please call us at 1-800-265-7617.


Request Information for: Synergy Latex Gloves


Which of the following best describes the industry you are in?

How many employees currently work at your facility?

Which of the following best describes the hazards your workers' hands face?

Poor Grip Molten Metal Splash
Abrasion Extreme Heat
Cut/Slash Extreme Cold
Punctures Other (please specify)

What kind of gloves are currently used in your facility?

Cotton PVC Coated
Leather Palms Nitrile Coated
Kevlar Welding
Other (please specify)

Approximately how many hand and arm injuries occurred in your facility over the last year?

Would you like a sample?
yes no
If yes, please specify which glove you'd like to recieve a sample of.



Please provide us with the following
CONTACT INFORMATION:

*=required
*Company Name:
*Address:
*City:
*Province/State:
*Country:
*Postal/Zip Code:
*Phone (xxx) xxx-xxxx:
Fax (xxx) xxx-xxxx:
*Your Name:
*Email:
If you are a US company, please provide us with your Federal ID #:

 
Glove tip
ImageIt's a good idea to keep both latex gloves and heavy-duty work gloves in a Emergency Preparedness Kit. The latex gloves protect against pathogens when assisting with injuries to people you may not know. The work gloves can be used to protect your hands from broken glass, barbed wire, etc.
Contact

Head Office
36 Vimy Street, Acton
ON, Canada L7J 1S1
Phone: (519) 853-1920
Toll Free: (800) 265-7617
Fax: (519) 853-4496