Select...
Home
About
Careers
Investors
News
Products
Site Map
Defect and Thin Film Characterization Laboratory
All fields marked with an asterisk
*
are mandatory.
Service Request Form
*
Please specify the purpose of this submission
Submit an Order (a valid PO has been issued)
Request for Quotation
*
PO #:
*
Address 1:
*
Company Name:
Address 2:
*
First Name:
Mailstop:
*
Last Name :
*
City/Town:
*
Department:
*
State/Province:
*
Email:
*
Postal Code:
*
Phone:
xxx-xxx-xxxx
*
Country:
Ext.
Fax:
xxx-xxx-xxxx
Description of Work Required
*
Purpose of Work:
Please call for a quotation
*
Similar to previous work:
Yes
No
*
If yes, please provide the DTCL Req#:
Required Turnaround:
Standard
Long Term Project
Urgent (48 hours, 50% surcharge)
Super-urgent (24 hours, 100% surcharge)
Next in queue (200% surcharge)
Technique
Quantity
Unit Price
Est. Price
1.
x
$
=
$
2.
x
$
=
$
3.
x
$
=
$
4.
x
$
=
$
5.
x
$
=
$
6.
x
$
=
$
7.
x
$
=
$
8.
x
$
=
$
9.
x
$
=
$
10.
x
$
=
$
Rapid Turnaround Surcharge =
$
Total =
$
Special Instructions or Requirements:
*
Return Samples:
Yes
No
If yes,
return sample immediately after analysis
return after storage period
Results Needed By:
calendar
