Mail-in Service Request

About | Locations | Turnaround Time | Pricing | Return Shipping Costs
To request mail-in service, please complete the Mail-in Service Request Form below, and use the Comments/Special Instructions field to indicate the nature of any problems you may be experiencing with your pipette(s).

Our Calibration Laboratory will contact you upon receipt of your pipettes should they need to clarify your service requirements. Feel free to contact us at 919-240-4089 should you have any questions or concerns you'd like to have addressed in advance. Following submission of this form, you will receive an e-mail confirmation of your intent to mail your pipettes to our Calibration Laboratory. If you do not receive an e-mail confirmation, or have trouble submitting this form, please call our main office at 919-240-4089.

* = Required Field

Mail In Service Request Form:
* First Name:
* Last Name:
Job Title:
* Email:
* Telephone:
Fax:
* Institution:
* Department:
Bldg/Room No.:
Campus Box:
Billing Information:
* Street Address:
* City:
* State:
* Zip:
* Country:
Cell Phone:
Shipping Information:
* Street Address:
* City:
* State:
* Zip:
Servicing Requirements:
* Please select your service level:
Please select the appropriate service level for your facility's requirements. For information about our 6 levels of service click here.
* Please select your Preferred Calibration Interval:
Comments or Special Instructions:
Statement of Decontamination:
* Has the equipment been exposed (internally or externally) to any of the following? Please answer all questions by checking Yes or No as applicable:
1. Blood, bodily fluids, pathological specimens?   Yes    No
2. Other Biohazards?   Yes    No
3. Biodegradeable materials that could present a hazard?  Yes    No
4. Chemicals or substances hazardous to health?   Yes    No
5. Radioactive substances?   Yes    No
6. Other potential hazards?   Yes    No
Please provide appropriate names and quantities of any hazards present as indicated above:
Please describe your efforts to decontaminate the equipment:
Please describe any likelihood of residual contaminations:
I declare that the above decontamination information is correct and complete to the best of my knowledge and belief:
* Initials:
* Today's Date:
How Many Pipettes Are You Sending?
If not sending a particular style,
please enter a '0' (zero) in that quantity field.
* Single Channel Pipettes:
* Multi Channel Pipettes:
How did you hear about us?
Pipette Service  |   Order "ON-SITE" Service  |   Accreditation  |   Products  |   Tradeshows & Calendar  |   Employment  |   About Us  |   Contact Us  |   Home