REGISTRATION

ANNUAL SUBSCRIPTION

SINGLE PARTICIPATION

PROFICIENCY TEST

subscription

add. samples

proficiency test

add. samples

DRUGS OF ABUSE

PT no.

Cont.*

2018

number

1/18

2/18

3/18

4/18

number

BTMF

11-0

set

UF

12-0

sample/s

DHF

13-0

set

QSA

14-0

set

SFD

15-0

sample/s

DMS

16-0

set

GHB

17-0

sample/s

set

DRUGS

BZF

21500

set

STM

22500

set

TCA

23500

set

TAB

24500

sample/s

TDMA

25500

set

TDMB

26500

set

TDMC

27500

set

TDMD

28500

set

ETHANOL

ETOH

31500

set

AMF

32500

set

BGS

33500

sample/s

ETG

34500

set

EGH

35500

set

FURTHER TESTS

ATU

41500

set

HCY

42500

set

PILOT PROFICIENCY TEST**

IDS

51-0

sample/s

DOAB

52-0

sample/s

ETB

53-0

sample/s

Annotations

* The continuous subscription starts with the receipt of the registration form (also possible during the year!). If we have not receive
a cancellation until 4 weeks before the start of the first test, the subscription will be prolonged for one year.

** The pilot proficiency test "Immunological Drug Screening in Urine" is organized and certified by Arvecon GmbH.


Lab code:		GTFCh member
this order is in addition to the continuous subscriptions

	DELIVERY ADDRESS		BILLING ADDRESS as delivery address
Name:
Institute/company:


Street:
ZIP/City:
Country:
VAT.id.no.			← only participants within EU
E-mail:*
Telephone:
Fax:
	* these boxes must be filled in !


Lab code:		GTFCh member
this order is in addition to the existing continuous subscriptions

	DELIVERY ADDRESS		BILLING ADDRESS as delivery address
Name:
Institute/company:


Street:
ZIP/city:
Country:
VAT ID.no.			< or participants within EU
E-Mail:*
Telephone:
Fax:
	* these boxes must be filled in !



PROFICIENCY TEST		SUB.*	PARTICIPATION				ADD. SAMPLES		CONT. SUB.**
	RV-Nr.	2019	1/19	2/19	3/19	4/19	number
BTMF	11-0							set
UF	12-0							sample/s
DHF	13-0							set
QSA	14-0							set
SFD	15-0							sample/s
DMS	16-0							set
GHB	17-0							set
BZF	21-0							set
STM	22-0							set
TCA	23-0							set
TAB	24-0							sample/s
TDMA	25-0							set
TDMB	26-0							set
TDMC	27-0							set
TDMD	28-0							set
ETOH	31-0							set
AMF	32-0							set
BGS	33-0							sample/s
ETG	34-0							set
EGH	35-0							set
ATU	41-0							set
PILOT PROFICIENCY TEST***
IDS	51-0							sample/s
DOAB	52-0							set
ETB	53-0							set
Annotations * Participation in all proficiency tests of the year. The continuous subscription starts with the receipt of the registration form (also possible during the year!). If we have not receive a cancellation until 4 weeks before the start of the first test, the subscription will be prolonged for one year. * The pilot proficiency tests are organized and certified by Arvecon GmbH.