Search


Order shipment
Plasma sample shipment

Please fill in all information in order for us to assist you in setting up a shipment of plasma samples. Fields marked with * have to be filled in.

Hospital Name *

Contact person *

Address *

Please enter precise address where courier can do pickup

Phone*

Fax

E-mail address

Number of samples/ tubes/ vials to be shipped?*

Additional comments or questions

Godsexliv.com