Shipping Supplies Shipping Supplies Please use this form to request supplies from PDL. Your Name *: Practice Name *: Full Practice Address *: Contact Phone *: Contact Email *: * = required field ------------------------------------------------------------------------------------------------------------------------ Item: ----------------------------------------- Unit of Measure: ----------- Qty Requested: Next Day Air Boxes (Small)------------100/pk: -------------------- Next Day Air Boxes (Medium)---------500/bx: -------------------- Next Day Air Boxes (Large)------------500/bx: -------------------- Lab Pak Bags-----------------------------500/bx: -------------------- Airbills (Pre-printed)----------------------500/bx: -------------------- Saturday Stickers------------------------500/bx: -------------------- ------------------------------------------------------------------------------------------------------------------------ Word Verification: Please type the word verification here before submitting: