Drug Test Kit
Description		 Description Number Ordered Price Per Kit Total
1 panel Marijuana or Cocaine   $10.00  
5 panel Marijuana, Cocaine, Opiates,
Phenocyclidine (PCP), Amphetaminc		   $15.00  
9 panel Marijuana, Cocaine, Opiates, Phenocyclidine (PCP),
Amphetamine, Barbituates, Heroin		   $25.00  
Shipping Costs        
Total Cost        



Drug Test Kit Order Form

Ship To:

Name   


Address   


City   


State   


Zipcode   


Telephone Number   


Email Address   


Type of Kit Desired
   


Number of Kits Desired
   


Payment Method   


Credit Card Number   


Expiration Date   


Name on Card   





Test kits are shipped within 24 hours of the order. Shipping costs are added to the cost of the test kits.

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ClevelandSolonMiddleburg Hts.Canton
AustintownMansfieldColumbusToledo



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