Fungi Test request formPlease complete the form and someone will contact you. Name * First Name Last Name Email * Phone (###) ### #### Amounts Required Fruiting body(Fungi) (2grams min.) Fruiting body Blend(Tea) (6grams min) Edible (6grams) Tincture (1oz min) Concentrate/Extract (1gram min) #1 Sample Name/ ID/ Notes One sample per #1Test Requested Price is per sample Potency (Psilocybin, Psilocin, Baeocystin and Norbaeocystin)- $150 Micro (coliform, e-coli)- $100 Specie Identification(Cubenis)- $60 Amanita Muscaria (Muscimol, Ibotenic Acid)-$150 #2 Sample Name/ ID/ Notes #2 Test Requested Potency (Psilocybin, Psilocin, Baeocystin and Norbaeocystin)- $150 Micro (coliform, e-coli)- $100 Specie Identification(Cubenis)- $60 Amanita Muscaria (Muscimol, Ibotenic Acid)-$150 #3 Sample Name/ ID/ Notes #3 Test Requested Potency (Psilocybin, Psilocin, Baeocystin and Norbaeocystin)- $150 Micro (coliform, e-coli)- $100 Specie Identification(Cubenis)- $60 OptioAmanita Muscaria (Muscimol, Ibotenic Acid)-$150n 2 #4 Sample Name/ ID/ Notes #4 Test Requested Potency (Psilocybin, Psilocin, Baeocystin and Norbaeocystin)- $150 Micro (coliform, e-coli)- $100 Specie Identification(Cubenis)- $60 Amanita Muscaria (Muscimol, Ibotenic Acid)-$150 Thank you!