Order Today!

Name: Radiation Badge Order Form | Med-Pro
Published: 2018-11-01T14:36:40+00:00

Order today and our state of the art lab will customize your radiation detection badges in as little as 24 hours!

Radiation Badge Order Form
Email*
Secondary Email
Contact Name:*
Radiation Source:
- Diagnostic X-ray
Service Type:*
- TLD XBG (Standard badge)
- TLD XBGN (Includes neutrons)
- TLD Finger Ring
- TLD Bracelet
Frequency Options*
- Quarterly
- Bi-Monthly
- Monthly
Annualized Payment Calculation:
# of Badges-Prices for Quarterly Monitoring with TLD*
1-5 Badges $59.00
6-11 Badges $55.00
12-20 Badges $50.00
Please enter a number greater than or equal to 1.
Please call us for orders 31 or more
Cost Per Badge
Prices quoted are for standard TLD badges and include yearly fee's,
quarterly monitoring, online reporting and one free control badge.
For more than 20 badges, badges requiring neutron technology or more
frequency in reporting call (800) 697-1517 for pricing.
Price: $0.00
Expedited Shipping
Please allow 5-7 business days for delivery on standard orders and 2-3 business days for expedited orders.
Total
$0.00
Preferred Start Date (if any):
Date Format: MM slash DD slash YYYY
Billing Information:
Company Name
Phone Number
Fax Number
Shipping Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Badge Information:*

1. For rings please add R or L for hand.
2. Service Types Include XBG, XBGN (additional $5.00 per quarter per badge) and Extremity

Service Type	Employee Name