Order Form

Two ways to submit the Order Form:

  1. Online by submitting the form below
  2. Printing, completing and submitting the PDF form

Billing information can be submitted online, by fax, or by email. Actual credit card info must be provided over the phone or by fax.

For questions pertaining to accounting/billing:

 

Billing Information:

Credit Card Info (type of card, number, expiration date, cvc/cvv code, name on card, billing address):
Please submit credit card info by phone (949-387-6555) or by fax (949-387-0820).


Service(s):

Turnaround Time: (Please check all applicable boxes)

Do samples need to be cleaned?

If required, can samples be cleaned with alcohol and/or acetone?

If requesting indentation testing, do you want pictures of indents (if optically possible)?


View EP Laboratories, Inc. Terms and Conditions