QualiLab Configuration Sheet

QualiLab QL-EZ order form

For the new QL-Elite order form, click this link.
Purchase Order Date
MM slash DD slash YYYY

Insert the date on the PO.
Completed By*
First Last
Enter your name
PO Number*
Buyer Company*
End User Company
Country*

Enter the end-user's location
Voltage*
- 110V
- 220V
Voltage requirements for end-user's location
QualiLab Model*
Select from the drop-down list
Aux Electrode*
- Stainless Steel (recommended)
- Copper
Select auxiliary electrode type
Syringes
Select the syringes required for the chemistry package
Syringe 1*
Syringe 2*
Options
These options will only be provided if they are clearly ordered on your Purchase Order. Please obtain a price for the options from ECI before placing your order. You may select multiple options by holding down ctrl key.
Additional Requirements
Detail any additional customer specs
Chemistry Packages

Add any ChemPack P/N (if known)
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Syringes