Company and Contact Details

Company name:
Contact person:
Telephone number:
Cellphone number:
Fax number:
Email address:
Postal address/
P.O. Box:
   

Sampling and Description of Sample(s)

Number of samples:
Type of sample:
Liquid
Solid
Polymer
Other, please specify:
 
   
Customers Sample Description: Type Of Analysis / Method Code
   

Payment Options


 

Should you wish to submit a sample for analysis, please complete the form in the link above. For more information or advice please email Mrs Louise Hamilton, the Laboratory Technical Manageress at InnoVenton:   Louise.Hamilton@mandela.ac.za.