CE Label Order Form

Order date

Only qualified inspectors registered in the state of Colorado can purchase labels using this form.

Customer information

QI registration number
*

**Please note that your QI registration number will serve as the Reference ID in the payport system.

Name *

Email address *

Shipping address

Street *

City *

State *

Zip *

Order information

Number of labels.
($60 per label) *

Press the "calculate" button below to get the total dollar amount of your order. You will need this for the payport system.

Total amount due:

0.00

NOTE: If you pay by credit card, you will be assessed a percentage-based fee.

If you pay by e-check, there will be a flat $1.00 fee.