Request Laboratory supplies

First Name

Last Name

Practice

Address

Postcode

Telephone

Mobile

Email Address

Postage: Pre-paid standard postage (1st class)

Postage: Next day delivery (£5 each)

Nasopharyngeal swabs - horse (£1.75 each)

Nasopharyngeal swabs - pony/foal (1.75 each)

General transport medium - for viral and bacterial testing (£0.70)

Other please specify