University of Illinois - Plant Clinic Services / New Form

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Submitter First Name*

For diagnostic samples, use format 201700123 or 201700123-201700134.

Submitter Last Name*

For nematology samples, use format 17N00123 or 17N00123-134.

Sample Number(s)*

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For molecular samples, use format HR1700123 or HR1700123-134.

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Payments made by credit card cannot be refunded. If you are unsure about the bill or how much you owe, please contact us before payment.

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