Requester Name (required)

Email Address (required)

Phone Number (required)

Company Name (required)

Location / Department

Mailing Address - No PO Boxes for FedEx (required)

Address 2

City (required)

State (required)

AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAWAWIWVWY

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Quantity Needed:

Urinalysis

Urinalysis - DOT (Department of Transportation)

Hair

Method of Delivery:
US Mail or FedEx Ground (No Charge)FedEx Overnight AMFedEx Overnight PMFedEx 2nd Day

FedEx Billing Number

Other comments or special instructions

If no FedEx number is given, we will bill all FedEx charges on your regular invoice.

If you are in the Dallas area and would like same day delivery via courier, please call us to make arrangements - 972-701-8603.

Note: Orders received after 3:00pm CST will be processed the next business day.