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Last Name

Institution

Department

Recipient Email Address

Recipient(s) Mobile numbers

Referred?

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Unit for analysis

Package Identification

Number of samples

Name labels on samples

Nature of samples

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Allschoolabs Header?

Yes please, add Allschoolabs Header to my results

No. Do Not add Allschoolabs Header to my results

Would you still run analysis on the leftovers of your samples?

Yes, retain please

No, I'm done

Total cost for analysis

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Choose OFFLINE Payment if you are applying in Nigeria and PAYSTACK to pay from anywhere else in the world.
For whichever mode of payment you choose, Ensure that you click PAY & APPLY and that you got an email confirming submission.
We do not commence analysis until at least 80% of the payment has been received and this form successfully submitted.
We do not send part results on part payment.
For offline payment, please send to 1407582395, Access, Allschoolabs scientific. Afterward, attach proof of payment to this form before submitting it.
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