Drug Testing Supply Order Form

Please note that the type of supplies sent will depend on individual contract agreements. Supplies that are not contractually agreed upon will be supplied at the charges listed.

Rush Shipping charges due to insufficient lead-time (2 weeks) for ordering supplies will be billed back to your account.

Supply usage in excess of submitted volume will be billed back to your account.

For non-contract clients, a $50.00 deposit is required for supply shipment. Minimum Testing charges is $100.00, if your testing charge is below $100.00 you will be automatically charged $100.00 Supplies needed for testing are included in the test price.

To Pay for testing please call Seth Wong at 303-287-9691 Thank you

First Name Last Name

Your Telephone Number

Your Email Address

Company Name

Shipping Address

City State Zip Code