Asbestos Analysts Limited Booking Form

Client Details

Name:

E-Mail:

Telephone:

Address:

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Address Line 1:

Address Line 2:

City:

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Country:

Postcode:

Site Information

Site Contact:

Site Telephone:

Site address:

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Site Address Line 1:

Site Address Line 2:

Site City:

Site County:

Site Country:

Site Postcode:

Services Required

Date:

Duration Required:

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Agreed Rate:

Type of Test:

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Date:

Duration Required:

Time Required:

Agreed Rate:

Type of Test:

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Additional notes

Scope of Works / Additional Information:

Authorisation

Purchase order number:

Purchaser name:

Signature:

Terms & Conditions: by signing this document and returning to Asbestos Analysts Limited you agree to the following:

Cancellation within 24 hours of the above stated works may be charged at the full order rate.
All agreed rates are subject to VAT at the current rate.
Payment terms are strictly 30 days from the date of the invoice.