Request for GDMS analysis services under a blanket agreement

If you would like a response, please ensure you supply us with your fax number or email address.

Personal information

Last name (required) First name (required) Organization Country

Order information

Agreement number Request number Purchase order number

Your PO number is recorded for your convenience only. Your Terms & Conditions are not accepted by NRC: do not send your PO.

Shipping information

Method of shipping the samples to NRC (required) Estimated date of arrival (YYYY-MM-DD) (required)

To send preliminary results by

Select an option (required) Enter a fax number or an email address (required)

All personal information created, held or collected by this department is protected under the Privacy Act. This means that you will be informed of the purpose for which it is being collected and how to exercise your right of access to that information. You will be asked for your consent where appropriate.