Order Test Kit

Test Kit Order Form

We make testing your water easy!
Choose from the following:
• Call (518) 581-7610 to order sample bottles
• FAX the completed order form to (518) 584-4481
• E-mail the completed order form to cna@nycap.rr.com
• Mail the completed order form to: CNA Environmental Inc., 446 Maple Avenue, Saratoga Springs, NY 12866
• Pick-up sample bottles at our facility in Saratoga Springs, NY (Handling charges will be waived!)
Note: a $5.00 shipping & handling fee due with sample receipt applies to all mail orders. Minimum order of $25.00 is required. Payments must accompany samples! We will not accept samples received without payment.

Name:	*
Street Address or P.O. Box:	*
City:	*
State:	*
Zip Code:	*
Country:	*
Phone:	*
Fax:
E-Mail:
Home Water Analysis ($59.00 per sample):
Lead & Copper ($35.00 per sample):
Coliform Bacteria & E. Coli ($30.00 per sample):
Physical Properties ($150.00 per sample):
Other :
Comments:

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