Amber Science Inc. 277 Blair Blvd. Eugene, Oregon 97402-4147, (541) 345-6877 FAX (541) 345-6277
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Contact / Order Request Form

Please fill in all fields with the "*" next to them. This form can be used to place an order or contact us with your request. 

Press the "Submit Information" button when you are ready.

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IF YOU WOULD LIKE TO PLACE AN ORDER, PLEASE ENTER INFORMATION BELOW AND CUSTOMER SERVICE WILL CONTACT YOU BY PHONE OR E-MAIL TO CONFIRM THE ORDER AND OBTAIN YOUR CREDIT CARD INFORMATION.

Do not enter your credit card number below since this is not a secure form.  If not placing an order you may type in other requests, comments or questions below and someone will respond by e-mail or phone.   Thank you!