Affinity Labs - Certificate upgrade form

Certificate upgrade form

The following contact information will appear on the certificate.
Company name*
Contact person*
First Last
Phone number*
Email*
AWRI sample ID*
Current sample description*
Service request options*
Change sample description to
Upgrade to*
- Certificate of analysis ($52.50 + GST)
- VI1 packaged certificate ($42 + GST)
- VI1 bulk certificate ($126 + GST)
- Japanese export certificate ($84 + GST)
Comments
Please note that an upgrade fee will apply to this request.
*
- I hereby acknowledge that the person submitting this request is an authorised representative of the Company.
Authorised person
First Last
Position / Title*

Username
Password

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