Service Request Form

  • No analysis will be performed until all requested information has been provided.

    In submitting samples you agree to all terms & policies as outlined in the most current catalog, our forms & promotional materials. All data held in the strictest confidence.

    Samples may need preparation prior to analysis/fees may apply.

    Check catalog or call prior to issuing a P.O.

    Net Terms 15 Days.

    Invoices with reports Emailed to Primary Contact & Billing Personnel.

     
    Standard & Priority Requests Can Be Noted On One Form *Please mark samples for priority turnaround with code F1 below - SEE catalog for details.
  • Client Information

  • Analysis Request Information

    See catalog for details on shipping samples. Clear labeling on multiple samples essential. Ensure you are sending enough of each sample for all desired tests.

    NOTE: Rush requests can be done on in-house tests only!

  • Sample Name / Type - For Reporting PurposesServices Requested / Catalog NumbersQuantity / Pkg Type / Size / Priority? 
  • Ideally samples & packaging should be clearly marked: “Samples for Analysis Only: Not for Human Consumption” (unless for sensory evaluation) & carefully packaged.

    Contact us for further instructions as needed - Phone 859-278-2533