| LSI LABORATORY FOR SCIENTIFIC INTERROGATION |
| P O BOX 17286 PHOENIX AZ 85011-7286 |
| TEL: 602-279-3113 / 800-727-3113 FAX: 602-277-7502 |
| The following printable form is provided for your convenience. You may also order by phone or e-mail. |
| fax to: 602-277-7502 |
| or mail to: |
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