HDScientific   Supplier of Laboratory Equipment and Consumables
to the Australian Scientific Community
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First Name
Last Name
Company
Department
Street or PO
Suburb
State
Postcode
Country
Phone
Fax
Email
Name and Model
Serial No.
Date Purchased
Desribe the problem or what needs to be done
Where is the work to take place?
(Please note: If 'On site' is chosen an order number is required and a site visit charge will be applicable.)
Do you require a quotation?
Urgent?
Has the equipment been in contact with unfixed biological samples, toxic or radioactive materials hazardous to human health?
(If 'Yes' then a 3.07.01 Decontamination Certificate must be sent. You can download this certificate here
Purchase Order No