Sunglass testing request

Current Start
Details of samples
Complete

Company name

Company address (street address, city/town, state/province, postcode, country)

Contact name

Email address

(this is for your report, invoice and reference number)

Phone

I hereby authorise the Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) to conduct testing of the samples described below. I have read and agree to abide by the Terms & Conditions for Service and Conditions for Test Samples.

I agree