Service Request Form

Shipping Address

From To
 
 
 
 
 
  Fax

Billing Address

Billing Address is same as Shipping Address
 
 
 
 
Fax  

Service Plan

Pharmaceutical & Biotech Companies- GMP/GLP Labs(Calibration Plus)

Cal. Frequency

     

Labels

GMP Sticker Novamed ID No Labels

Shipping Charges

Charges apply 1st Day 2nd Day Ground

Pipettes

     
   
     
     
     

I certifiy that the above pipettes have been De-Contaminated from Radioactive and Bioharzad.

 
     

Shipping Instructions

Make sure to include Pipette tips (3 tips per pipette, all sizes).
Decontamination of Radioactive & Biohazards of Pipettes is required.
All pipettes must be packaged (bubble wrap pipettes) properly for shipping.