Additional/Repeat EQA Samples Order Form

Requested by:
Date:
Laboratory ID
number or address

Repeat samples:
Distribution number

Sample number(s)

Quantity

Total number of samples

Additional Samples:
Distribution number

Sample number(s)

Quantity

Total number of samples

Repeat samples will normally be sent with the
next distribution.
Only complete this section if you want to pay
for earlier delivery.

Invoice Address (if applicable)

Customer Order No.

VAT No.
A limited number of repeat samples are available free of charge for participants who experienced technical
difficulties with a distribution.
Please return to:

The Organisers,
Public Health England,
Food and Environmental Proficiency Testing Unit (FEPTU),
61 Colindale Ave, London, NW9 5EQ, UK.
Fax: +44 (0) 20 8200 8264
E-mail: foodeqa@phe.gov.uk

FEPTU105.01

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