HPTA Test Method Certification Seal PAYMENT ONLY Name(Required) First Last Company Name PaymentHPTA Members$100 per Product or Fomulation Quantity Price: $100.00 Quantity $50 Additional labels of the same product on the same application (repackaged or private labels) Quantity Price: $50.00 Quantity HPTA Non-Members$300 per Product or Fomulation Quantity Price: $300.00 Quantity $150 Additional labels of the same product on the same application (repackaged or private labels) Quantity Price: $150.00 Quantity Total Credit CardCard Details Cardholder Name
