AmniSure® ROM Test Order

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To order AmniSure® products, please submit the form below.

Alternatively, Purchase Orders may be sent by fax to 617-661-5617 or by email to orders@amnisure.com

However, first time orders may not be placed online or over the phone. Please fax.

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*AmniSure® Purchase Order (if none, please indicate "None")

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Quantity Product Code Please indicate quantity ordered, or 0 if none.

FMRT-1-25 [Box of 25 AmniSure ROM Tests*]

FMRT-1-10 [Box of 10 AmniSure ROM Tests*]

PAMG-P1014B [Positive Control for AmniSure ROM Test]

PT-PN01 [Quality Control Pack - 1 Positive and 1 Negative Control]

AI0013 [Negative Control]

NDMS-200 [Additional Solution vial w/cap]

SWABNDF100 [Additional Collection Swab]

AmniSure Timer/Vial Holder (US$11.95 each)

ASSB100-US000 [AmniSure Starter Kit]

ASEP100-US000 [AmniSure Educational Poster]

* The maximum shelf life of the AmniSure® ROM Test is 24 months

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(to request a current price quote, go to the Contact page).

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