Sample Submission Form

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Sample Submission Online

PETRO-LUBRICANT TESTING LABORATORIES, INC.

116 Sunset Inn Road, Lafayette NJ 07848

Phone (973) 579-3448   E-mail labmanager@petrolube.com

 

Sample Submission Form

This form MUST accompany all samples.

In order to avoid delays, please complete ALL sections of this form.

Please enter the date in format mm/dd/yyyy
Company Name/Division as you want it to appear
Company shipping/mailing address
Name of contact person
Phone number with area code
Please list the samples and their identification marks
Type of Sample
Testing to Military Specification
Photos
Photos must be requested at sample submission.
Please list: Test Method, Time/Temperature, Material Specification, etc.

Photos must be requested at this time

Rush Testing

ALL RUSH TESTING MUST BE PRE-APPROVED* and will incur at least a 50% surcharge. CALL 973-579-3448 X2 FOR PRE-APPROVAL

Enter the name of the person you spoke to.

Note: We do our utmost to meet rush requests but owing to unforeseen circumstances we do not guarantee results by a particular date in every instance.

* Scheduling of Rush testing will be delayed or may not be available in the absence of pre-approval.

Method of Payment: This section MUST be completed.

Purchase Order, Credit Card, Check or Wire Transfer
Net 30 Days
mm/yyyy
Credit card information is securely transmitted to Petrolube by email using SSL with 256-bit encryption. For maximum security you may also call in with your credit card number at 973-579-3448 X2
Wire Transfer: If you choose to make a wire transfer you will be contacted with our bank information after your samples have arrived. You will be responsible for all bank fees.

If you do not receive an email response please check your spam folder
and whitelist "s29.wpx.net"

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Petro-Lubricant Testing Laboratories, Inc.
116 Sunset Inn Road, Lafayette, NJ 07848, USA
Phone: +1 973-579-3448

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