Corporate Accounts

Kindly provide your company's information using the form provided. A dedicated Duracan account manager will promptly initiate the account setup process and reach out to you within 24 hours.

Company Name

Company Contact

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Estimated Monthly Samples Requiring Review

Please Provide 2 Company References

Please provide the full name and contact phone number with each company reference.

Corporate Accounts

Duracan Ltd