Please enter notes for which this payment is being made in the Notes section of the checkout page.

If you have questions or problems using this form, or would just prefer to
provide your credit card information over the phone, please contact us at:

3400-B Teays Valley Rd
Hurricane, WV 25526

304-397-6551 Office
304-397-6552 FAX

info@ReliantDrugTestSolutions.com

Office Hours 9:00am – 5:00pm