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Drug Test Inquiry Form
Drug Test Kit Inquiry
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Name
Phone
Email
Company
Company Address
Do you have any specs to meet?
Yes
No
Type of Drug Test Required
Cup Test
Dip Test
Single Test
(Add-On Info for Cup Test only) - Require adulterant check?
Yes (OXI, SG, PH, CRE, GLUT, NIT)
Not Applicable
List of Parameter(s) Required
AMP
BAR
BZD
BUP
COC
KET
MDMA
MET
MOR / OPI
MTD
OXY
PCP
PPX
TCS
THC
K2
NO SPECS. PLEASE ADVISE COMMONLY COMBINATION USE
Message/Note
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