ADCL Order Form

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University of Wisconsin
Medical Radiation Research Center
Radiation Calibration Laboratory (ADCL)

1111 Highland Avenue, WIMR Rm B1002
Madison, WI 53705-2275
Phone: (608) 262-6320

 

REQUEST FOR INSTRUMENT CALIBRATION

Step 1 of 2

Reporting and Shipping Address

Select date MM slash DD slash YYYY
[Valid Entries are: Your PO Number, Pending, Credit Card, or Invoice]
Address(Required)

Billing Information

Billing Contact:(Required)
Address(Required)

Return Shipping Instructions: Your instruments will be returned to you via FedEx Std Overnite unless otherwise requested. Please indicate the amount of insurance coverage desired. If you wish to use an alternate mode of transportation, please fill in the appropriate information below. The cost of shipping, handling and insurance will be prepaid and added to your invoice.

International Customers: If you are shipping from outside the USA, please call in advance to discuss international shipping requirements. All return shipments to international destinations require the use of your shipping account. The UWRCL will not prepay customs and duty charges.

[USD]

UWMRRC