Order Form

This order form can only be used by existing customers.

Fill out and submit the order form. You will receive an order confirmation and an invoice. Expected shipping 2-3 days after receiving the order.

SURFACE ASSAYS

MSF – Mycometer Surface Fungi Assay
1 parcel contains everything needed to take and analyze 20 samples. Includes chemistry, pipette tips, filters, and sampling swabs.

Number of parcels

MSB – Mycometer Surface Bacteria Assay
1 parcel contains everything needed to take and analyze 20 samples. Includes chemistry, pipette tips, filters, and sampling swabs.

Number of parcels

Additional sampling for fungi on surfaces
1 bag contains 5 swabs, 5 templates, and 5 fungi wetting solutions.

Number of bags

Additional sampling for bacteria on surfaces 1 bag contains 5 swabs, 5 templates, and 5 bacteria wetting solutions.

Number of bags

AIR ASSAYS

MAF — Mycometer Air Fungi Assay
1 parcel contains all consumables needed to take and analyze 20 samples. Includes chemistry, pipette tips, syringes, and filters.

Number of parcels

MAA — Mycometer Air Allergen Assay
1 parcel contains all consumables needed to take and analyze 20 samples. Includes chemistry, pipette tips, syringes, and filters.

Number of parcels

MA-FAI — Mycometer Air FAI Assay
1 parcel contains all consumables needed to take and analyze 10 samples. Includes chemistry, pipette tips, syringes, and filters.

Number of parcels

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SHIP-TO-ADDRESS

Is billing address same as shipping address? *

yes

Exact Company Name *

Street Address *

Address Line 2

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Postal / Zip Code *

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BILL-TO-ADDRESS

Exact Company Name

Street Address

Address Line 2

Postal / Zip Code

City

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