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Statement of Decontamination

Mail-in Service Request

The same quality on-site service that we offer is available by mail-in as well. Our environmentally controlled mail-in laboratories are located in Concord, CA, Ann Arbor, MI and Carrboro, NC. Equipped to handle large volumes of pipettes, our laboratories are typically able to service your pipettes on the same day that they are received.

Prices are available by request (they can differ depending on the quantity and type of pipettes you have), and return shipping costs $20 for three day FedEx service and $40 for standard overnight. Special return shipping arrangements may be made upon request.

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 to clarify your service requirements and method of payment. 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 800-253-7064.

* = 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:
* Restrictions:

Only necessary for Levels 3-6.

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:
Payment Methods:
Select a Payment Method:
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Purchase Order
Other
Please enter this code before submitting.
This will help reduce the amount of SPAM we receive from programs that automatically complete these types of forms. Thank you.

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