PLN Lab Application
Please only fill out the application for a lab account with one of our lab partners.
Please fill out one application per location.
All sensitive data requested through this application is protected using a secure connection and military-grade encryption.
This application will require approximately 10 minutes to complete. You will need the following information:
- Pivotal Group main account email and Pivotal Account Number.
- Names & emails of all important contacts to be associated with this lab account.
- Office contact & shipping information.
- Business information including legal name, DBA, and UPS-recognized address.
- Financial information to be put on-file with this PLN account.
- A signature from an owner or authorized user of the bank account on-file.
PLN Application Forms
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