Analysis Request: New Clients

    Information Detail

    First Name *

    Last Name *

    SSW Contact *

    Company / Division *

    Your Email *

    Payment Type *
    Visa/MasterCard/American Express (processing details sent with invoice)P.O.Standing P.O.Other (please communicate directly with SSW)

    Your Purchase Order Number

    Turnaround Requested *
    Normal5 Day3 Day1 Day

    Normal (Results generally within 10-15 business days of sample receipt)
    5 Day - 25% Surcharge (Minimum verbal report within 5 business days of sample receipt)
    3 Day - 50% Surcharge (Minimum verbal report within 3 business days of sample receipt)
    1 Day - 100% Surcharge Minimum verbal report within 1 business day of sample receipt)

    Description of Samples/Quantity/Analysis Details *

    Will communicate with SSW staff to describe details

    Return Samples After Analysis *
    NoYes (return shipping charges are not included in quotation and will be added to our final invoice)Yes (collect - please communicate courier account #)
    (N.B. samples will be disposed of 60 days after analysis unless otherwise advised)

    Materials Specific Regulatory Requirements
    RadioactiveBio-hazardousToxicDangerous goods (MSDS datasheet required for all applicable substances)


    Click here for Sample Submission and Return Guidelines
    Samples and area(s) of analysis should be clearly marked and labeled.
    International shipments should be valued at $1.00 USD. Collect shipments will be accepted, however any customs/brokerage/courier charges will be billed back to the client.

    Shipping / Billing information

    Shipping Address (Street address required for courier) *

    Invoicing address (same as shipping address)

    Invoicing Address

    Telephone Number *

    Telephone Number (Alternative)

    Facsimile Number

    New Client Information

    How did you hear about SSW?