vintage purchase order editable PDF
Preview vintage purchase order editable
2022 Vintage Purchase Order Company name ________________________________________ Your Order no (if required) __________________ Contact person ________________________________________ Quote no (if applicable) _____________________ Email ________________________________________________ Mobile_______________________________________________ Telephone ________________________________ ☐ Grapes ☐ Juice (use plastic containers only) ☐ Ferment (use plastic containers only) Analysis description Cost per sample Number of Analysis Test List Code (excluding GST) Samples ☐ Brix (or BE) 200 Berries $10.50 BRIX or BAUME ☐ pH and Total Acidity $15.75 TITRAMASTER ☐ Basic vintage panel (pH / TA / Brix) $25.20 BASIC_VINTAGE_PANEL ☐ YAN $36.75 YAN ☐ White grape vintage panel $57.75 WG_VINTAGE_PANEL (pH / TA / Brix / YAN) ☐ Red grape vintage panel $57.75 RG_VINTAGE_PANEL-01 (pH / TA / Brix / YAN) ☐ Red grape vintage panel plus $94.50 RG_VINTAGE_PANEL-02 Anthocyanins, Phenolics and Tannins ☐ Malic Acid $26.25 MALIC_REF ☐ Glucose + Fructose $31.50 GLU_FRU_REF $231 per sample ☐ Agrochemical residue analysis (LC/MS/MS) LCMS-02 $185 based on 8+ samples ☐ Laccase $44.10 LACCASE Sample descriptions (please attach a separate list for large number of samples) Description of Samples: ______________________________________________________________________________ __________________________________________________________________________________________________ Acceptance by the AWRI of this work, following the receipt of a purchase order for analysis, is subject to the terms and conditions which are posted on our website. I hereby acknowledge that the person signing this purchase order is an authorised representative of the Company and has the authority to bind me / us into a contractual agreement. Signature:_____________________________ Name [print]_______________________________________ Position/title: __________________________ Date: ___/___/___ Scan this QR Code on your mobile and be linked to this document on our website
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