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
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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)
Fields marked with ** are REQUIRED!
** NUMBER of KITS   X $XXXX USD =  
Add $5 for handling on single-kit order ... total $XXXX
>>> prices do not include shipping <<<

** P.O. NUMBER:

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If you would like a confirmation, how should we contact you?
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NOTICE of PRICE INCREASE Kit Price will be $116  + shipping.effective April 1, 2022
EVALUATION COPY ONLY!
EVALUATION COPY ONLY!
EVALUATION COPY ONLY!
TEST PAGE ONLY … CLICK TO RETURN           TO REGULAR ORDER PAGE! TEST PAGE ONLY … CLICK TO RETURN           TO REGULAR ORDER PAGE!
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