Administrators of Federally Mandated Alcohol




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Administrators of Federally Mandated Alcohol


Orders
 Highlighted fields with a * are required fields.
 
Your Name *
Company Name *
Location Code
Ship To:  Address * 
 
Must be a physical street address. NO P.O. BOXES
E-mail *
Work Phone *
City *
State/Province *
Zip/Postal Code *
   
KIT ORDER SECTION - Questions? ENTER  QUANTITY
DOT DRUG KIT ? 
NON-DOT DRUG KITS  ?
DOT BREATH ALCOHOL KITS ?
NON-DOT BREATH ALCOHOL KITS ? 
DOT POST-ACCIDENT KITS (Max 10 kits per order. See Note)
NON-DOT POST-ACCIDENT KITS (Max 10 kits per order. See Note)
CLIENT REQUIRED DRUG/ALCOHOL KITS ?
CLIENT REQUIRED ALCOHOL KITS ONLY ?
   
BROCHURES ORDER SECTION   (Available for Download)
EMPLOYEE BROCHURES (Download PDF - English)  / (Download PDF - Spanish)
NON-DOT EMPLOYEE BROCHURES (Download PDF)
SUPERVISOR'S BROCHURES (Download PDF)
NATIONAL HOTLINE/HELP LINE POSTERS (English) (Download PDF - English)  /  (Download PDF - Spanish)
DRUG AND ALCOHOL TRAINING DVD'S AND BOOKS  (Training DVD available online) / (PDF - Full Book) / (Verification Form Only)
   
HOW WOULD YOU LIKE THIS ITEM SHIPPED:   UPS Ground MAP    

**REQUIRED** List your name for our records     
   
ADDITIONAL SHIPPING/ORDER COMMENTS (Use this section to specify Overnight / Saturday shipping)
   

NOTICE: UPS Ground service is provided at no cost. Shipping and Handling will be charged to your company for all other priority shipping services.
 
PLEASE UTILIZE THIS ONLINE FORM WHEN ORDERING ADDITIONAL KITS. BE SURE TO CHECK YOUR KIT SUPPLY OFTEN. TO ENSURE THERE IS NO DELAY IN SHIPPING, MAKE SURE EACH STEP IS FILLED OUT. ALL ORDERS WILL BE SHIPPED VIA UPS (REGULAR GROUND).

Note: If you need more than 10 Post Accident Drug or Alcohol Kits please contact your account representative

PTC Shipping Policy
PTC Test Kit Use Policy




Administrators of Federally Mandated Alcohol













Administrators of Federally Mandated Alcohol

Administrators of Federally Mandated Alcohol & Drug Programs
 
5, 7 & 9 Compound Drive | Hutchinson KS, 67502 | P: 1.800.294.8758 | F: 620.669.0906 | Copyright 2012 Pipeline Testing Consortium, Inc. All Rights Reserved