Lab Essentials' Order Form
While our online shopping cart operates over a secure line, we understand that a few of you careful shoppers are still wary.  We'd like to make it as easy to purchase from Lab Essentials as possible.  Just Print this form, fill it out, and fax it to us toll-free
at 1-888-337-0233
We'll take care of the rest!

NAME:
BILLING ADDRESS:

 

 

 

SHIPPING ADDRESS:
TELEPHONE NO:
EMAIL ADDRESS:
CREDIT CARD #                                                                             EXP. DATE:
SIGNATURE
ITEMS PURCHASED

 

 

 

 

QUANTITY PRICE TOTAL

 

 

SHIPPING & HANDLING (IF APPLICABLE):  $3.80 for orders under $25,
$5.00 for orders $25-$50, Free shipping for orders over $50
SALES TAX (GA RESIDENTS ADD 6%):
TOTAL AMOUNT OF ORDER

Lab Essentials will email you with a confirmation of your order and expected ship date.  If you do not receive confirmation within 12 hours of faxing your order, please re-fax or contact us by phone or email.