Order Form
(Required entries are marked in RED.)
Name: Street address: 
Address (cont.): City:
State:  Zip Code:
Phone: E-mail:
Fax:

 
Description
Quantity/ Price
MoldAlert Kit       1 - 9 Kits: $40.00
                    10-24 Kits: $35.00
                      25+ Kits: $30.00
 
QuanTIFIER              1 Unit: $70.00
                      2+ Units: $67.50
 
Tape Lift Samples   Per Sample: $25.00
 
Bulk Samples        Per Sample: $25.00
 
Payment Method:  
Card Number:      All Shipping Included
Expiration Date: 
  Total 

If you prefer not send credit card information via the net, you may also complete the form, print and fax it to QuanTEM Laboratory at 405-755-2058 or call us at 800-822-1650. Payments by check will be shipped when the check has been processed.

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What is Mold?