973-299-8237 (voice) 973-334-4953 (fax)

The Most Trusted Name in Test Strips

Acustrip Credit Application

In order to set up your account we need some information. Your account will be set up as quickly as possible. We will notify you as soon as your account has been set up. Thank you for your assistance. We look forward to working with you. All of the following items are required in order to process your application.

Please Enter the Following Company Information:

Note

If you prefer, you can download a PDF copy of the credit application to complete and either mail or fax to us.

Acustrip 1550
FreezePoint – RA – pH

Acustrip 2050-4
Nitrite – Molybdate
Glycol – pH

es_ESEspañol