To ensure a smooth and easy transition of your sample material from arrival to final reporting, it is important that the information you provide is thorough and accurate.

Key Reminders

The form is configured so that you can easily tab through each of the 9 sections.

Analytical Contact

The Analytical Contact is the person who will be contacted regarding technical aspects of the analysis and who will be the recipient of the results. Please ensure that the email address and phone number are correct.

Accounts Payable Contact

Any questions regarding credit card payment, purchase orders or billing will be directed to the Accounts Payable contact provided. This person will also receive the final invoice.

Purchase Order or Credit Card Information

This section must be completed with either a purchase order (PO) or credit card number. Alternatively, credit card information can be provided by phone. Please note that orders will not be processed until this information is complete.

Reference PTL Quote Number

If you received a formal price quotation from our sales department, a PTL quote number will be listed on the quotation. 

Check All That Apply

Please make sure to review each section and check all that apply to your order:

• Project Priority
• Quality System
• Sample Return
• Sample Storage
• Sample Classification

Reference Numbers

If you have previously submitted sample material for analysis, feel free to reference any PTL project or PTL test method numbers.

Special Instructions

Use this space to provide any special instructions pertaining to your order. If necessary, a separate sheet can be attached as well.

Material Name and Sample ID

IMPORTANT: Material name and sample IDs will be reported on your final report exactly as specified. Please ensure that the spelling and identification numbers are correct. 

As always, we greatly appreciate your business and look forward to your next project with us. Should you have any questions about placing an order, please contact us at (630) 403-0126.