Biobar General order form

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Biobar General order form

Reagent Request Formbouton
BIOBAR

General order form

Please be advised that incomplete information may cause delay in order delivery.

Please note that after you submit this form, you will receive an email confirming that your submission has been received. If you do not receive an email, please email biobar.gcrc@mcgill.ca

 Laboratory
									
 First name
									
 Last name
									
 Phone
									
 Send order confirmation to this e-mail:
									
Company Company
                                
Product 1 Product Name
									
 Catalogue #
									
 Quantity
									
 Size (If the product is offered in many sizes)
									
 Unit Price
									
 Total Price
									
 Add an Additional Product
Product 2
 Product Name
									
 Quantity
									
 Unit Price
									
 Catalogue #
									
 Total Price
									
 Size (If the product is offered in many sizes)
									
Product 3 Product Name
									
 Catalogue #
									
 Quantity
									
 Size (If the product is offered in many sizes)
									
 Unit Price
									
 Total Price
									
Promotion Promotion Quotation # or Promo Code
									
 Upload Company Promotion
									
Payment Method P-Card
 Name on PCard
									
 Last 4 digits
									
 Purchase Order
 Purchase Order Number
									
Please send / email invoice to: (Lab Address) Attention
									
 Company | Institution
									
 Lab Address - Street
									
 Lab Address - City
									
 Lab Address - Building and Room Number
									
 Lab Address - Postcode
									
 Notes
									
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Reagent Request Form

Please be advised that incomplete information may cause delay in order delivery.

Please note that after you submit this form, you will receive an email confirming that your submission has been received. If you do not receive an email, please email biobar.gcrc@mcgill.ca

Company

Product 1

Product 3

Promotion

Payment Method

Please send / email invoice to: (Lab Address)

Newsletter

Take a stand

BIOBAR
General order form