Chemical Stores Order Form

Form Instructions

Please note:  Any order containing any of the following items will require additional review.  Please allow 2 business days to process the approval.

  • 4kg (5 gallons) or greater of any individual chemical
  • 1kg or greater of any acutely toxic chemicals listed on the EPA's table 205a

* Required Field

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Please enter a valid Michigan Tech email (@mtu.edu)

 
 
 
 
 
 
 
 
 
 
 
 
 
 

Rush (next day, 2day, overnight) orders may incur increased shipping and packaging costs as determined by vendor.

 

Catalog # Qty Size Unit Description Unit Cost Total Cost
$
When your order arrives would you like*

Building/Room Number where the chemical and/or order will be used/delivered