An email address is required, please!
Your phone number is required, please!
form is valid New Customer

Good Quality Service is a lasting impression! ®

Laboratory Management System!

Customer Information Form

Kindly note that for regular clients, a new Service Level Agreement (SLA) form must be completed every two (2) years, as this is a mandatory requirements of our ISO 9001 and ISO/EC 17025 accreditations.

If you are a Regular Client and your SLA is still valid, please go to next page to Request a Quote: Next »

Please complete in full: Your Company or Business name:
Your first name:
Your last name:
Your contact email address:
Your contact phone number:
Accounts Dept. email address:
Accounts Dept. phone number:
Address1:
Address2:
Address3:
City:
Province or County:
Country:
Company Registration Number:
Vat Registration Number:
Type business entity:

Any further information you which to submit:

Note that we abide by the requirements of the Protection of Personal Information Act (POPIA).

For our Terms and Conditions of Business, please consult this link on our website: www.biosciencetechnologies.com

We agree to the Terms and Conditions of Business! Dated:

For any queries, please contact us:

Telephone: +27 (0)31 2061390
cellphone: +27 (0) 768813063
Email address: info@laboratories.co.za

If you are unable to contact us on the above telephone numbers, then please try our VOIP phone number 087 149 1091. Thank you!

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Document number BST/lims/03; issue date: March 2023