Assay Submission Form

American BioResearch Incorporated

Phone: +1 509-334-2968 ♦ FAX: +1 509-334-4837 ♦ E-mail: info@ambio.net

ABR Assay Submission Form
Company:		Date Sent:
Billing Information:
Contact/Attention:
Billing Address:


E-mail Address:		Phone Number:
*PO Number:		*Please note: If your company requires a purchase order in order to remit payment, we will not provide results until we receive a PO number.
Send Testing Results to:
Contact/Attention:
E-mail Address:		Phone Number:
Alternate E-mail:		Alternate Phone:
Results are normally sent in a PDF attachment to an e-mail. If you would like results transmitted by an alternative mode of communication, please contact us.

Testing Ordered
Catalog ID	Test Name	Description & Species of Sample	Sample Number (ID)	Comments:

If catalog ID is unknown, just describe what you would like done.

Mailing Address:
Send mail and payment to
PO Box 502
Pullman, WA 99163

Phone: 509-334-2968
FAX: 509-334-4837
E-mail: info@ambio.net

Shipping Address:
Send samples to
4641 Pullman Albion Rd.
Pullman, WA 99163

ABR Assay Submission Form