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 col3mn; 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!
Site design by: Kenneth J Anderson & Associates © 2003 - 2024 Nelco Made with Xara
We currently do not accept credit cards.  An invoice will be sent to your company when your order is shipped.
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:
Order Info (each KIT contains TEN tests)
Fields marked with ** are REQUIRED!
Add $5 for handling on single-kit order ... total $XXXX
>>> prices do not include shipping <<<


Buyer and Billing Information
** Buyer Name:
** Company:
** Billing Address:
** City, St/Prov, Zip/Code:   **   **
** PHONE:   Fax:  
** E-MAIL:
Shipping Method: Ground    Air    2nd Day Air

Fill below if DIFFERENT from billing address
Shipping Address:
City, St/Prov, Zip/Code:    

               If you would like a confirmation, how should we contact you?
                        E-mail    Phone    US Mail    None needed

                  Type your   COMMENTS   below.           Characters left =  


NOTICE of PRICE INCREASE Kit Price will be $135  + shipping, effective April 1, 2024
20240418 rev