Holmes Laboratory - Supply Request Form

Supply Order Form

Name:
Address:
City: State: Zip Code:
Phone: E-mail Address:

No charge for these items, please indicate amount for each in boxes to the left of each description.

Sample bag for forage, feedstuff, soil, etc."Blue" Information Form - soil only "Yellow" Information Form - Forage, Feedstuff, Etc.Brochure - Information about Holmes LaboratorySterile Water Bottle - For Bacteria Tests This Supply Order Form

The following contain information on tests available with costs:

Forage and Feedstuff, Etc.Water Manure, Compost and FertilizerSoil and Plant Tissue Mycotoxin, Yeast and MoldGreenhouse and Soilless Mixes

Self-Adhesive address labels for submitting samples, packages, boxes, etc. (Note two different addresses)

UPS Only - Black Color Label with 3559 US RT. 62 Millersburg, OH 44654
US Mail Only - Blue Color Label with P.O. Box 204 Winesburg, OH 44690

Additional comments or questions: