Online Sample Submission Form

If you have already received our quote and would like to submit your samples, please fill out and submit this form.

Client Information

Background Information & Analysis Request

Project GxP Status

If GMP or GLP is required, additional charges may apply and methods must be specified or included. For non-GxP testing, analytical results or data obtained are to be used for exploratory and development studies and are not intended for product release.

Describe the testing you require and desired method of analysis (if known):

Return Sample?

Turnaround Time Requested:

TERMS: Payment due upon completion of the tests and/or delivery of the results and subject to the standard terms and conditions of Alliance Technologies. Samples may be sub-contracted at the discretion of the laboratory. Submission of this form for testing services assumes agreement with these terms and conditions and the pricing information provided by Alliance Technologies, LLC.