Pickup Slip/Form



    Company Name*


    Address*


    City*


    Phone Number*


    Contact Name*


    Email*


    P.O. Number*


    Date for Pickup*


    No. of Instruments*



    Standard TurnaroundOvernightBulestreakSame Day

    Join OTS email subscriber list?

    YesNo

    Verification


    Please enter any two digit*



    (Example:12)