Request for GDMS analysis services under a blanket agreement

Please note that our prices have changed.

Please complete all required information on this form and submit it electronically. If you would like a response, please ensure you supply us with your fax number or email address.

Personal information

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Telephone number

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Order information

NRC blanket agreement number

Purchase order number

Your PO number, associated with the blanket agreement, is recorded for convenience of reference and for billing and tracking purposes only. The blanket order you signed with NRC acts as your acceptance of and agreement to be bound by NRC's terms and conditions. Your terms and conditions are not accepted by NRC. Please do not send us your PO documentation if already held on site at NRC.

Service Code	Quantity	Price (CAD)	Sample Type	Sample ids
A33-11-01-01		$650
A33-11-01-02		$825
A33-11-01-03		$725
A33-11-01-04		$
Service Code		Price $
Service Code		Price $
Service Code		Price $

Total cost ($CAD):

Shipping information

Method of shipping the samples to NRC (required)

Estimated date of arrival (YYYY-MM-DD) (required)

Tracking # of shipment (if available)

Methods for receiving preliminary results

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Enter an email address for receiving results (if using Entrust software) (required)

Enter a fax number for receiving results (required)

Specific Instructions

Instructions

All personal information created, held or collected by NRC is protected under the Privacy Act. This means that you will be informed of the purpose for which it is being collected and how to exercise your right of access to that information. You will be asked for your consent where appropriate.

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From: National Research Council Canada

Date modified:: 2024-07-18

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Request for GDMS analysis services under a blanket agreement

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