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Create a Lapidary request

Fill in the fields below and then press the "Send" button

Remember, you must enter your last name, and your account number.

First Name
Surname	(required)
Purpose	select from the list
Comment
Account No	(required)
Ext
Email
Total No Samples	(required)
Main Product	select from the list (full description of charges and products)
Date Required	** must be dd/mm/yy
Priority
Sample List	You must upload your sample list in an EXCEL spreadsheet. Each different product type must be on a seperate worksheet within the file. Download Excel template by clicking here.