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Chemistry Services Request for Pricing

Please complete the following form to request a Silliker Chemistry Service Proposal.


 
 * indicates required fields
* Company: 
* Subsidiary of: 
* First Name: 
* Last Name: 
* Title: 
* Address: 
Suite: 
* City: 
* State/Province:  * Zip/Postal Code:
* Country: 
* Telephone:  Fax:
* E-mail Address: 
Other locations also
working with Silliker:
 
Sample Matrix:
(meat, cheese, etc.)
 
Tests Needed (please note individual test volumes in text boxes):
 
Nutritional Labeling 
Amino Acid Analyses 
Cholesterol 
Fat by Fatty Acid 
 
Industry Nutritional Labeling Testing Packages:
Baked Goods 
Dairy 
Meat and Poultry 
Vegetable 
Hard Candy-Beverage 
Serving Size 
Vitamin Assays 
 (please itemize volume of each vitamin)
Fats and Oils 
Proximates 
Sugars 
GI (Glycemic Index) 
Physical 
Extraneous Matter 
Heavy Metal 
Allergens 
 (please indicate volume of each allergen)
Mycotoxins 
Others (please indicated tests and volumes below)
 
Any Special Requirements?
If yes, please explain:

Any Special Preparation Needed?
If yes, please explain:

Routine Compositing Scheme Used?
If yes, please explain:

 Specific Methodology Needed or Required?
 Expected levels or required detection limit:

Sample Procurement needs:
If other, please explain:

Are you obtaining bids from other laboratories?
If other, please explain:

Requested Turn-Around Time: