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Custom solutions order request form

For a re-quote of an existing custom standard please provide
Part number or Quote number *
Nie ANALYTE CAS NUMBER (for compounds, if available) CONCENTRATION
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Asterix * denotes mandatory field.

Solvent*
Volume *
Container *, e.g.,CERTAN® capillary bottle*Ampoule 1.5mL Bottle with screw cap
Number of units *
We recommend that volatile / organic solutions are packed in CERTAN® capillary bottles.
Minimum expiry period ( 3 months, 6 months, other) *
Validation protocol, e.g., Gravimetric, Quantitative, ISO Guide 34 *
Please provide details of your analytical technique in order that we can as far as possible tailor uncertainty calculations *
Have you purchased from LGC Standards before? * TakNie
Informacje kontaktowe
Nazwa organizacji*
Tytuł *
First Name *
Last Name *
Telephone Number *
Email Address *
Re-type email address *
Invoice Details
Nazwa organizacji *
Company Number
Adres *
Adres c.d.
Address Line 3
Address Line 4
Miejscowość *
Kraj*
Hrabstwo*
State
Post Code*
Numer telefonu stacjonarnego *
Shipping details
Tick if shipping same as Invoice Details
Nazwa organizacji *
Adres *
Adres c.d.
Address Line 3
Address Line 4
Miejscowość *
Kraj*
Hrabstwo*
State
Post Code*
Numer telefonu stacjonarnego *
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