New Customers

New customer? Download and complete our Customer Registration Form and submit via email or fax to 780-752-2320.

Sample Kit Orders

To order sample jars, please fill out the following form, or submit your order by phone at 877-962-2400.

Sample kits are typically sold in packages of ten. Each sample kit includes:

  1. Leak resistant black outer mailer bottle with Fluid Life address.
  2. Sterile white test sample bottle with QR code on label.
  3. Sample cards for sample information and customer contact information (if ordered).
  4. Testing and analysis of the sample itself.
Sample Kit
  • Shipping Information

  • Billing Information

  • Payment Options

    Please select your preferred method of payment and enter the appropriate information below. You can pay by credit card or purchase order. If you choose to pay by credit card, you will be contacted for credit card information. If you choose to pay by purchase order, payment must be made within 30 days of receipt of invoice.
  • Courier Information

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