Sample Request Step 1 of 6 16% Name* So, you're looking to deliver preferred taste, and you've come to the right place. We would love to help you, but ask that you first provide us some background information. Name* First Last Phone Number*Phone Number*Email Address*Email Address* Company Name*Company* Company WebsiteCompany Website Shipping Address*Shipping Address* Street Address City State / Province / Region ZIP / Postal Code Country*AfghanistanAlbaniaAlgeriaAmerican 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 RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican 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 RicoQatarRomaniaRussiaRwandaRéunionSaint 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 IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Company Size*Company Size*Select OneSmall but mighty (1-25 employees)Mid-size and growing (25-100 employees)Large and in charge (100+ employees)Company Status*Company Status*Select OneStart-upFairly new to the industryEstablishedCommentsAnything else we should know about your company? ReferenceHow'd you hear about us?Select OneSales ContactTrade ShowSearch EngineTrade MediaSocial MediaReference from a current Virginia Dare partnerOtherSales Contact or ReferenceWho? Trade ShowWhich one? Trade MediaWhich publication? Other ReferencesPlease, tell us more. ProductThe product I'm working on is a:Select OneNew product developmentReformulationProduct line extensionFlavor line extensionOtherProduct CategoryIn the delicious category of:Select OneBeverageSweet GoodsHealth & WellnessDairy & Dairy AlternativesFrozenOtherBeverage FormulaExcellent, thank you! Can you please let us know a little more specifically what type of beverage your consumers are sipping on?Select OneReady-to-drink (bottled or canned)Ready-to-mixBeverage Category TypeSelect OneShakes or SmoothiesSparkling WaterJuice or LemonadeMilk (including plant-based)Alcoholic BeveragesEnergy BeveragesTeaCoffeeSports DrinkOtherSweet Goods Category TypeYum! Many thanks. Now, when you say "Sweet Goods," can you please specify what type of treat that you're talking about?Select OneBaked Goods (including doughnuts, pastries, cakes, pies, and cookies)CandyCookie DoughPuddings & CustardsOtherHealth & Wellness Category TypeThat is great. Many thanks. "Health & Wellness" is, admittedly, a pretty broad topic. Which type of product are we talking about?Select OneSmoothies & ShakesSports DrinksNutrition BarsEnergy BeveragesPowders & Dry MixesSupplement Pills & CapsulesPharmaceuticalsFunctional Beverages & ShotsGummiesFunctional Foods & SnacksOtherHealth & Wellness SpecificsAre there any specific health categories that you're hoping to address?Select OneImmunityGut HealthMen's and/or Women's HealthEnergy and/or CognitionMood and/or WellbeingHealthy AgingSleepStress and/or AnxietyHolistic WellnessExercise and/or Sports PerformanceOtherDairy Category TypeDairy it is - which type of product are we discussing?Select OneMilkCheeseYogurtIce Cream and/or Frozen DessertsLatteCreamerDairy Alternatives (including plant-based)OtherFrozen Category TypePlease let us know what type of frozen product you're working on.Select OneIce CreamFrozen DessertsFrozen BeveragesWater IcePopsiclesOtherProduct Sub-Category - OtherWhat other product type or category are you looking for?Additional Product InfoIs there anything specific about this product that we should know? Product Category - OtherThank you! Can you please explain more about your product, and why does not fall into one of the categories on the previous page?Label RequirementsNow let's talk labels. In a perfect world, what claims are most important for your label? Natural Organic Compliant Organic Certified Fair Trade Certified Kosher Certified Halal Certified EU Compliant Alcohol Free Dairy Free Gluten Free Non-GMO PG Free Vegan Vegetarian N&A Other Other Label RequirementsWhat other claims are important for your label? Flavor FormatFunctionality-wise, is there anything specific you're looking for? Ideally, the flavor will be in a: Liquid Format Dry Format Not Sure SolubilityAnd, ideally, it will be: Water Soluble Oil Soluble Not Sure Sample TypeThank you for the information. Now, let's get to the sample. What type of sample are you looking for? Flavor Sample Extract Sample Improved Taste and/or Texture Flavor or Product Consultation Flavor SampleWhat type of flavor sample? Foundational Flavors (vanilla, tea, coffee, cocoa) Nostalgic Favorites (cereal milk, candy classics, lemonade, PB&J, etc.) Elevated Classics (perennial favorites like vanilla and chocolate with a sophisticated twist) Wellness-Inspired (turmeric, matcha, elderberry, ginger, etc.) Earth-Inspired (mushrooms, beet, figs, pine, etc.) Sophisticated Sours (flavored vinegars, varietal citrus, sour berries, etc.) Fruits (apple varietals, berries, citrus, etc.) Florals & Botanicals (lavender, hibiscus, cherry blossom, etc.) Tropicals (e.g., jackfruit, mango, lychee, etc.) Indulgent (e.g., birthday cake, marshmallow, cookie dough, etc.) Mint (e.g., spearmint, peppermint, etc.) Nut (e.g., almond, hazelnut, etc.) Herbal & Spice (pumpkin spice, cinnamon, etc.) Sweet Brown (caramel, brown sugar, maple, etc.) Other Extract SampleWhat type of extract sample? Vanilla Tea Coffee Cocoa Botanical Other Flavor NamePlease specify which flavor you are seeking. Other FlavorThe flavor or extract you're looking for isn't listed above? We applaud your ingenuity. What type of flavor or extract is it?Taste or Texture ImprovementWhat type of taste improvement help are you looking for? Characterizing Flavor Taste Modulation Flavor Masking Other Taste Improvement - OtherWhat other taste improvement help are you looking for?Taste Improvement - ChallengeMore specifically, I'm having trouble overcoming:Taste Improvement - IngredientsMy product contains the following functional ingredients: Product Category - Other - Consultation DetailsWe'd love to talk. Let us know the type of consultation you are seeking and the best way to reach you and we'll be in touch!ConsentAlmost done! Click the box below for company updates and trend insights from Virginia Dare, then click submit to send us your sample request. I would like to receive emails from Virginia Dare. CAPTCHA
