ResultPoint


Information Request Form



Step 1 Fill in the following information: (*indicates required fields)

You are:
Company Name:*
Division:
Primary Contact:*
Title:
Phone:*
Cell:
E-mail:*
Corporate Address:
Suite:
City:
State:
Zip Code:*
Industry:
Product Description(s) 1:
2:
3:




Requesting the following:

Information
Pricing
Type of Test or Service
Microbiology:
Chemistry/Analytical Chemistry:
Pharmaceutical/USP:
Nutritional Analysis:
Product Quality Compliance:
Environmentals:
Consulting/Auditing Technical:
Other:



Referred to AFL by: (Check any that apply)
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Analytical Food Laboratories
865 Greenview Drive, Grand Prairie, Texas 75050-2439
Ph: 800.242.6494 or 972.336.0336 Fax: 972.641.3383
E-mail: afl@afltexas.com

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