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Quotation Request Form
More topics in this section
Required fields are marked with an asterisk (
*
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Submitter Details
First Name(s)
*
Last Name(s)
*
Company Name
*
Company Address
*
Contact Number
*
Email Address
*
Testing Requirements
Reason for testing
*
AI Centre
Disease Surveillance
Export of Live Animals
Export of Animal Products (I.e. Embryo's and Semen)
Export of Biological Products (I.e. Serum)
Import
Interstate Movement
Regulatory
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Other
Other
If you selected "Other" please specify below
Test/s required
*
Please include the disease, the test type and any specific testing or reporting requirements (I.e. Dilution factor in the test, final report needs date of testing and/or pathologist signature included, etc)
Species
*
Bird- Non-Poultry
Bird- Poultry/Commercial
Bovine (Serum export)
Cattle- Beef
Cattle- Dairy
Canine
Camelid
Crustacean
Deer
Goat
Feline
Fish
Horse
Mammal
Pig
Sheep
Other
Other Species
Please include the species information if you selected "Other" in the question above
Protocol Documentation
Please attach your export or testing protocol information if you have specific testing requirements
Submission date
If you know the date you' re going to be sending samples, please confirm (DD/MM)
Required reporting date
If you require results back by a certain date, please confirm (DD/MM)
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