Northeast Laboratory Services: Order A Testing Kit

First Name: *

Last Name: *

Phone Number: *

Which Testing Kit Would You Like To Order? *

$75 Mortgage Approval + Fluoride (includes Coliform & E. Coli Presence/Absence Result)

$78 Mortgage Approval + Fluoride (includes Coliform & E. Coli Numeric Count Result)

$15 Coliform & E. Coli Presence/Absence Result

$18 Coliform & E. Coli Numeric Count Result

$30 First Draw Lead - Special Only $25**

$45 Radon Air

$45 Radon Water

$20 Fluoride

$45 Basic Safety (includes Coliform & E. Coli Presence/Absence Result)

$48 Basic Safety (includes Coliform & E. Coli Numeric Count Result)

$30 Iron & Manganese

$20 Sodium

$20 Arsenic

$80 Radon Air & Water

Other

Email Address: *

Shipping Address: *

Questions / Comments:

**Offer ends 2/29/12; ME residence only; may not be combined with contract pricing.

Mailing Address	Shipping Addresses (FedEx and UPS)
(including return of residential test kits)	227 China Road, Winslow, Maine 04901
P.O. Box 788, Waterville, Maine 04903-0788	999 Forest Avenue, Portland, Maine 04103

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