the Gly-Tek testkit
How to Order the TestKit There are four ways to order your testkit(s): * E-mail Our online submittal option has recently been updated. Use the SUBMIT button at bottom; you will receive a confirmation e-mail if you have entered your own e-mail address. If any problems, please use one of the options below to order. * Fax FIRST fill out this form, THEN print, fax to number in left column) * Regular Mail FIRST fill out this form, THEN print 2 copies, mail ONE to address shown in left column; keep second copy for your records * PDF E-Mail Print filled-out form as PDF, send as attachment to e-mail in left column * Phone Call the number listed in left column ALL INTERNATIONAL ORDERS (including CANADA): Please provide your UPS or FedEx account number in Comments box at bottom of page. Thank You!
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CONTACT INFO Billing 2234 Douglynn Lane St. Paul, MN 55119 Shipping 9741 Alvarado Lane N Maple Grove, MN 55311 Phone, Fax, E-Mail Phone: 651.738.2014 Fax: 651.738.9447 Email: nelcoLLC@comcast.net
Order Info (each KIT contains TEN tests)
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** NUMBER of KITS   X $XXXX USD =  
Add $5 for handling on single-kit order ... total $XXXX
>>> prices do not include shipping <<<

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EVALUATION COPY ONLY!
EVALUATION COPY ONLY!
EVALUATION COPY ONLY!
BE SURE TO UPDATE LIVE ORDER PAGE IMMEDIATELY AFTER NEW CHANGEOVER LOGIC HAS BEEN VERIFIED ON THIS PAGE TEST PAGE ONLY … CLICK TO RETURN  TO REGULAR ORDER PAGE! (right-click widget box below to edit METHOD)
Revised this page to prevent unauthorized access to EVAL form
Retains old price until changeover for price increase. The FORM widget and MAINX script must have same dates & dollars! 20240418 rev
NOTICE of PRICE INCREASE Kit Price will be $135 + shipping, effective April 1, 2024