vintage purchase order editable

0.36 MB·

by  Brigitte Lynch

2022 Vintage Purchase Order
Company name ________________________________________ Your Order no (if required) __________________
Contact person ________________________________________ Quote no (if applicable) _____________________
Email ________________________________________________
Mobile_______________________________________________ Telephone ________________________________
☐ Grapes ☐ Juice (use plastic containers only) ☐ Ferment (use plastic containers only)
Analysis description Cost per sample Number of Analysis Test List Code
(excluding GST) Samples
☐ Brix (or BE) 200 Berries $10.50 BRIX or BAUME
☐ pH and Total Acidity $15.75 TITRAMASTER
☐ Basic vintage panel
(pH / TA / Brix) $25.20 BASIC_VINTAGE_PANEL
☐ YAN $36.75 YAN
☐ White grape vintage panel
$57.75 WG_VINTAGE_PANEL
(pH / TA / Brix / YAN)
☐ Red grape vintage panel
$57.75 RG_VINTAGE_PANEL-01
(pH / TA / Brix / YAN)
☐ Red grape vintage panel plus
$94.50 RG_VINTAGE_PANEL-02
Anthocyanins, Phenolics and Tannins
☐ Malic Acid $26.25 MALIC_REF
☐ Glucose + Fructose $31.50 GLU_FRU_REF
$231 per sample
☐ Agrochemical residue analysis (LC/MS/MS) LCMS-02
$185 based on 8+ samples
☐ Laccase $44.10 LACCASE
Sample descriptions (please attach a separate list for large number of samples)
Description of Samples: ______________________________________________________________________________
__________________________________________________________________________________________________
Acceptance by the AWRI of this work, following the receipt of a purchase order for analysis, is subject to the terms and conditions which are posted on our website.
I hereby acknowledge that the person signing this purchase order is an authorised representative of the Company and has the authority to bind me / us into a
contractual agreement.
Signature:_____________________________ Name [print]_______________________________________
Position/title: __________________________ Date: ___/___/___
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