Ups Prepaid Shipping Labels - Order Form
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1UPS Prepaid Shipping Labels
Order Form
CONTACT INFO
ADDRESS
Phone: (608) 262-5432
WVDL Supply Department
Toll free: (800) 608-8387
445 Easterday Lane
Fax: (847) 574-7533
Madison, WI 53706
Date: __________________
E-mail: supply.room@wvdl.wisc.edu
PLEASE PRINT
NAME OF CLINIC
CONTACT NAME
TELEPHONE
EMAIL
SHIPPING ADDRESS (NO P.O. BOX NUMBERS)
CITY & STATE
ZIP CODE
UNIT
QUANTITY
TOTAL
PRICE
UPS Ground Shipping Label
$0.00
$7.00
Next day delivery for all of Wisconsin and some surrounding areas.
Ground map available at
UPS 2nd Day Air Shipping Label
$0.00
$10.00
Any weight and any point of origin.
UPS Next Day Air Shipping Label
$0.00
$14.00
Any weight and any point of origin.
Please select an option:
Email Labels
Print and Ship Labels
Please select a location:
Return to Madison Lab
Return to Barron Lab
Check to see which lab runs the test(s) you are requesting at our test and fees webpage:
https://custportal.wvdl.wisc.edu/testFeeList.jsp
Note: Prices are subject to change.
Lab Use Only
Rev. 7/30/2014
Filled by:
______________________________
Date: _________________________
FM-CL-ORD-6 SOP: ASUPPLYORDER
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