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SciOptic Canada - Bags & Vials Order Form v4
Phone:1-877-264-8037 - Fax:(403)717-9737 - Email: scioptic@shaw.ca - Unit #13 1916 30th Ave NE, Calgary, AB, T2E 7B2
Billing Information
Shipping Information
Wellsite Information
I need the following (check that apply):
Sample Bags Trays & Vials Labels (No Vials) EZ Sample Files
Sample Bags
Size: 4x6 5x7 8x11
Style: Blank Printed Lined Lined & Printed
Depth Interval Office Use
I need Gunny Sacks : Qty
Trays & Vials
I need Trays & Vials for:
Company Government Both Company & Government
Depth Interval Office Use
I need Bulk Tray (No Labels) : Qty
Labels (No Vials)
I need Company Government Both Company & Government
Depth Interval Office Use
EZ Sample Files
Qty Large: Qty Small:
Depth Interval Office Use
Special Instructions
Office Use
Vials ___________ ___________ Labels ___________ ___________ Bags ___________
Blanks ___________ ___________ Trays ___________ ___________ Blanks ___________
EZ Files ___________ Small ___________               Large ___________ ___________ Gunny ___________
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