Payment Method: Visa  MasterCard   


Credit cardholder's name:_______________________________________________ 

Credit card # _________________________

Expiry date _________   
 

All content on this website is ©2011-2012 Jellett.ca for more information email sales@jellett.ca
Tel 902 275 5104 Fax 902 275 2242 Our Office is located at 4654 Route #3 Chester Basin, Nova Scotia, Canada B0J1K0

Order Information:   Date _________  Preferred currency      US$   CAD$ 
First Name
 Last Name
EIN / VAT # 
Organization/Business
E-Mail Address
Purchase Order  
Address 1
Address 2
City _____________________    State/Prov.______________  Country___________________________
Telephone ________________ Fax ____________________  Postal Code _______________________ 
RAPID TESTS

Pricing:  $27.50 Canadian Dollars per Test PLUS SHIPPING

Number of Test Strips Ordered:

PSP: _____ Tests       ASP: ______ Tests        DSP: _______ Tests   

Application:  Lab ______      Field ______

Extraction Method for Sample Preparation:

PSP Tests:  AOAC _____  Rapid _____  Phytoplankton _____

ASP Tests:  AOAC _____  Rapid _____  Methanol _____ Phytoplankton _____                  

DSP Tests:  Methanol _____

EXTRACTION KITS and consumables available upon request   

All tests are accompanied with appropriate Instruction for Extraction Methods, Test Procedure and required buffer. Please complete orderform and fax to (902) 275-2242, email to sales@jellett.ca or mail to 4654 Route #3  Chester Basin, Nova Scotia Canada B0J 1K0

ORDERFORM