Biotech Laboratories
Submit a request for a Quotation form 

Please complete the form below and then click the Submit button at the bottom.

Fields marked with a red ** are compulsory. Please ensure you give us all the necessary details to be able to contact you.

  1. Please provide the following contact information:

    First Name **
    Last Name **
    Organization
    Street Address **
    Address (cont.)
    City **
    State/Province **
    Zip/Postal Code
    Country
    Work Phone
    Home Phone
    FAX
    E-mail
    URL

  2. Please the list the type(s) of sample you wish to have tested

    **

  3. For each type of sample listed please estimated the number of samples per period you will submit for testing 
    ( e.g. Tank Water - 1 sample only, Meat - 5/week, Water - about 30/month etc)


  4. Select any of the following analyses to be performed - Note if the analysis does not appear in this limited list add it to the comments section at the bottom of this form

    Anaerobic Plate Count                              Bacillus cereus                                    
Brochothrix thermosphacta                          Campylobacter                                    
Chemical Tests (detail in Comments section below)  Clostridium perfringens                            
Coliforms                                          Escherichia coli (E. coli)                       
E. coli O157:H7                                    Enterobacteriacae                                  
Enterococci                                        Faecal Coliforms                                 
Faecal Streptococci                                Fungal count                                       
Lactic acid bacteria                               Legionella                                       
Listeria                                           Osmophilic yeast and moulds                        
Plate count (Total bacteria count)                 Pseudomonas (foods)                              
Pseudomonas aeruginosa (water)                     Psychrotrophic organisms                           
Salmonella                                         Slime-forming bacteria                           
Staphylococcus (coagulase positive)                Thermophilic plate count                           
Thermoduric plate counts                           Vibrio parahaemolyticus                          
Yeast and moulds                                   Yersinia enterocolitica

  5. If there are any special processing requirements or specific methods to be used, please specify.


  6. How urgent is this request


  7. Please list any other comments or requirements


Copyright © 2003 [Biotech Laboratories]. All rights reserved.
Revised: January 13, 2003