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Mail In Request form

PipetteT Tek 574E Ritchie Hwy, Suite 122 Severna Park, MD 21146

Contact:_________________________________________

Company:_________________________________________________
  • Email_______________________________________

Lab Head________________________________________

Department___________________________________
  • Phone___________________________________________

Return Shipping Address

  • Service Plan Pick one: ( circle one )
  • Plan A
  • Plan B: All certificates are sent PDF, no paper copies
  • Plan C: All certificates are sent PDF, No paper copies

Billing Email_____________________________________

Billing Address:
  • Certificate and Sticker Date Due: ( Circle one )
  • 3 month
  • 6 month
  • 1 year

Method of return shipping

We only ship next day/overnight if you provide shipping account.
  • Standard Overnight
  • 2nd day ( we use Fedex one rate to reduce cost if available in you area)
  • Express saver ( 3 day )
  • Fedex Ground

Please include tips for pipettes

Make sure to include mail in request form with shipment
  • Call ahead for weekend /special service

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