IDEXX Laboratories
ISO-CERTIFIED FACILITIES
COMPANION ANIMAL
In-Clinic Tests
In-Clinic Analysers
Laboratory Services
   Pathologists
   Spec cPL Test
   Courier Booking Form
   Contact Information
Computer Systems
Home | Contact Us | About IDEXX | IDEXX USA
IDEXX > Companion Animal > Laboratory Services > Courier Booking Form
 

Courier Booking Form

Complete the fields below to receive prompt IDEXX courier services.

* indicates required field.


Contact Information
First Name*

 Last Name*
Contact Telephone Number
When would you like a pickup?
Date (ddmmyyyy)*


 Time (24-hr format)*
Service Information
Service*
Special Instructions (e.g., after-hours access)
Clinic Information
Clinic Name*

 Address*
Address Line 2
 City*
State
 Post Code*
Clinic Telephone Number
 Clinic Number (e.g., A1234)
The information you have provided in this form will be sent to IDEXX's Customer Service Offices in Brisbane, Queensland, for processing and will be used and protected in accordance with IDEXX's Privacy Policy. As described in IDEXX's Privacy Policy, the information you have provided on this form will be used solely to respond to your request, or for internal IDEXX purposes including, without limitation, marketing, promotional, customer support, Web site administration, and feedback purposes. IDEXX does not sell e-mail addresses, telephone or facsimile numbers, or other personally identifiable information to other companies. By clicking the "Submit" button below, you consent to the transfer of the information you have provided to IDEXX and IDEXX's use of your information in accordance with the Privacy Policy.
 
© 2008 IDEXX Laboratories, Inc.
All Rights Reserved.
Terms of Use | Privacy Policy | Site Feedback