PETRO-LUBRICANT TESTING LABORATORIES, INC.
116 Sunset Inn Road, Lafayette NJ 07848
Phone (973) 579-3448 E-mail email@example.com Fax (973) 579-9447
Sample Submission Form
This form MUST accompany all samples.
In order to avoid delays, please complete ALL sections of this form.
Company shipping/mailing address
Please list the samples and their identification marks
Please list: Test Method, Time/Temperature, Material Specification, etc.
ALL RUSH TESTING MUST BE PRE-APPROVED* and will incur at least a 50% surcharge. CALL 973-579-3448 X2 FOR PRE-APPROVAL
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
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.