Fill the form bellow. Required fields are in bold.
( the same as SHIP TO)
First & Last names (or Dept. Name)
Company
Address
City
State (optional if international)
Zip code
Country
Phone
Fax
PO/Account number
check if using customer shipping account
the shipping account was provided in COMMENTS section previously, or can be emailed separately
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Bioscience Tools, ph: 1-877-853-9755, fax: 866-533-7490