Chemical Service Laboratories

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Volumetric Standardette

Instrumental Standardette

Chemical Preservatives

Custom Synthesis

Fax / Email Order Form

Contact Us

Setting the Standard for Over 40 Years

To Order By Fax:  Please print and fill out this form, then fax to
(727) 531-7849.  Alternatively, please fax us whatever order form
your company uses to place orders.

To Order By Email:  Please print, fill out and scan this form as 
a PDF document, then email to csl@tampabay.rr.com.  Alternatively, please 
email us whatever order form your company uses to place orders.

Information   Billing Address  Shipping Address
 Company Name _______________ _______________
 Contact / Attn: _______________ _______________ 
 Street Address _______________  _______________
 City _______________  _______________
 State or Province _______________  _______________
 Postal Code _______________  _______________ 
 Country _______________  _______________ 
 Phone _______________  _______________ 
 Fax _______________  _______________ 
 Email _______________  _______________ 
 Website _______________  _______________


Cat# Description Qty Unit Price  Total Price
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Purchase Order Number:                                                          

Credit Card Information (Optional)

Type of Credit Card:  Visa or Mastercard (Please Circle One)
Credit Card Number:_______________________
Expiration Date:_________   Security Code:______

This information will not be shared or sold. 
All orders shipped within the USA will be UPS Ground unless otherwise specified.
All orders outside of the USA will be shipped via Federal Express.
Prices subject to change without notice.

Thank You For Your Order!
Chemical Standards Laboratory DBA Chemical Service Laboratories
Phone (727) 531 5731
Fax (727) 531 7849
Email csl@tampabay.rr.com