MC DIAGNOSTICS MULTIPLE TEST KIT ORDER

Order Additional Test Kits

ONLY USE THIS FORM if you need to order Multiple Additional Test Kits for members of staff within a business. We need to ensure each person can be linked to their blood sample - so please supply all information to reduce the potential for mistakes. Please Note: International Orders outside of the United Kingdom must pay for the return postage to MCD. We will advise you of the cost.
Title*
Lead Customer - Full Name*

First NameLast Name
Phone/Mobile Number*

CodeNumber
E-mail*
example@example.com
Business Name (if applicable)
Please use the registered company name
Delivery Address*

Street Address

Street Address Line 2

CityCounty/State/Province

PostcodeCountry

Please complete the following information for further persons requiring testing. This is important - so please make your entries accurate.

Excluding the Lead Customer above - please name any Additional Persons requiring a Test Kit:

	Title	First Name(s)	Surname	Email Address	Mobile Number	Address if different from Lead Customer
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
Person 8
Person 9
Person 10

Large Businesses ordering more than 11 Test Kits, can upload a spreadsheet with the full contact details of your staff. Ensure you have added the correct 'Total Quantity of Test Kits Required' in the field below. If you require assistance - please contact us on +44 (0)1745 535225. File Upload:

Include staff members home address for direct delivery if you wish. Please advise your staff. If further address information is not supplied - all Test Kits will be delivered to the business premises.
Cancelof
Special Delivery Instructions?
Please ensure you have selected the Total Quantity of Test Kits Required (Lead Customer + Additional Persons) in the Quantity Box selector below:

My Products

COVID ANTIBODY TEST KITCOVID ANTIBODY TEST KIT CVABT001

£48.00 Total Test Kits
Item subtotal:£0.00

Total

£0.00

MC Diagnostics Ltd

Unit 5 OpTIC, Ffordd William Morgan, St. Asaph Business Park, Denbighshire, LL17 0JD, Wales, United Kingdom

T: +44 (0)1745 535225 E: enquiries@mcdiagnostics.co.uk
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Order Additional Test Kits