YOCOM_McCOLL

TESTING LABORATORIES INC.
540 West Elk Place * Denver, CO 80216-1823 USA

LASERSCAN SAMPLING FORM
(For Individual Animals)

Type in your information, print this form and send it with your sample and payment. Credit cards not accepted, payable in U.S. funds only (checks, money order, or wire transfer).

This is not a required form for sampling, we are including it for your convenience. Any format that you provide which includes this information will be accepted.

Orders of 1-25 tests are $9.50 each
26-50 tests are $9.00 each
51 tests and over are $8.75 each

All results will be sent in electronic PDF format. You will require Adobe Acrobat Reader 5.0 or higher.
The latest update is available from at no charge.

Name:
Farm/Ranch:
Street Address:
City: State:
Zip or Post Code: Country:
Phone: Fax:
Email:

Please submit a 2" square sample per test location.

Animal's Name :
Eartag # Registration #
Sex: Color:
Animal Breed/Type:
Date of Birth: Sample Location:
Date Sample Was Taken:


©2013 by Yocom McColl Testing Laboratories, Inc, all rights reserved.