Proficiency Testing Registration

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This field is for validation purposes and should be left unchanged.
Facility Name*
Company Name*
Facility Contact Name*
First Last
Facility Contact Person Email*
Facility Contact Person Phone Number*
Payment Method*
- Credit Card
- Check/Invoice
Registration Fee Quantity*
How many sample sets would you like shipped to this same address? Only one report can be issued per sample set.
Price: $125.00
Registration Fee
Price:
Shipping Method*
Registration fee includes shipping through U.S. Postal Service. You can provide your UPS or FedEx account number and there will be no additional charge. We apologize that we are unable to ship via DHL.
- Standard USPS
- UPS
- FedEx
Enter UPS/FedEx Account Number
Facility Address (where samples will be shipped)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Shipping Notes
If you are aware of specific shipping forms that are required for your location, please make note of them below. GFCO cannot be responsible for shipments that are held in customs or that otherwise are not received.
Billing Contact Person*
First Last
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Email*
Billing Contact Phone Number
Total
$0.00
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