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Chem Service, Inc.
PO Box 599
West Chester, PA 19381-0599
USA

Telephone
1-610-692-3026

Toll Free
1-800-452-9994

Fax Number
1-610-692-8729

 

 

 

  Customer Service Form - Use This Form To Contact Customer Service to request a Custom Solution or Mixture. Please provide all information when submitting this form! Thank You.

Name:
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eMail:
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Company:
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Address Line 1:
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Address Line 2:
 
City:
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State or Province:
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Zip or Postal Code:
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Country:
 

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Work Phone:
 
Fax Number:
 
Customer Account Number:
 
 Please enter "new" if you are a new customer. Your business is valuable to us!
Part # or Quote#
  If you are reordering, please provide a part number or quote number.
Comments:   (required)
Concentration Units:  
Solvent:   If other, specify in comments above.
Documentation   Note: MSDS provided with all standards.
Package Volume    How many packages at this volume?


Please provide as much information below as possible. Use a catalog number for the analyte where possible to describe the components of the solution or mixture. Fill in all fields before submitting form!

Analyte Concentration Description and Notes
     
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Copyright 2007 Chem Service, Inc. Developed By Razer Technology Solutions, Inc.

 




The Products furnished
by Chem Service, Inc. are FOR LABORATORY USE ONLY, and will be sold only to recognized laboratories and their suppliers

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