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Registration for PT 3/12 - TW A5 - Cations, part 2, in drinking water

Our laboratory will take part in the proficiency test 3/12 - TW A5 - Cations, part 2, in drinking water.
The participation fee of 370,00 € (240 € for maximum 2 parameters) plus transportation costs (for participants outside Germany) and plus VAT (if applicable) will be paid after receipt of the invoice

Obligation

Our laboratory will perform the analyses in our own laboratory, with own personnel and own equipment.

Details of the laboratory: Name:
 
 
Street:
Postal code / city:  
Country:
Phone:
Fax:
E-Mail:
important for confirmation!
Contact person:
VAT-identification number
(for participants outside Germany):
We participate with
at maximum
2 Parameters
(please note parameters)
Delivery address
(if different):		 Name:
 
 
Street:
Postal code / City  
Country:
Billing address
(if different):		 Name:
 
 
Street:
Postal Code / City:  
Country:
Name of person completing the form:

By clicking on "Submit" we confirm that we are in agreement with the terms and conditions (Allgemeine Geschäftsbedingungen) of the University of Stuttgart and we bindingly register for the above mentioned PT exercise. This registration will be sent to AQS Baden-Württemberg and to your e-mail address specified in the form. Please check this e-mail and in case of any inconsistencies please do not hesitate to contact us.

Because of formal reasons please print and sign the page appearing after submitting this form and send it to us by fax or mail.