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Additional Test Request Form

This form may be used to request additional tests for samples that have already been submitted to our lab.

Please call us at 541.928.4014 or email us the following information.

Fields with an asterisk * are required.
Charge To *:
Your First Name *:
Your Last Name *:
Phone Number: 555-555-1212
Your Email *:
Lab Number: (Recommended)
Lot Number *:

(The same test for multiple lot numbers can be entered above separated by commas)

Please check any additional test requests.

Purity Germ or Regerm
Noxious Weed Exam Crop & Weed Exam
Soil Exam Ergot Exam
Soil & Ergot Exam Canadian Purity
ISTA Purity  
Other (Separate multiple requests with commas)

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