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Note: Custom gene prices are estimates only. Actual prices will appear on your statement by email within 1 business day. If you do not receive a phone or email confirmation of your order within 1 day, please call ATCGene customer service at 1-203-421-2274 to verify receipt of your order. Orders placed without an active login will not reflect a shipping charge.

Customer Information:  
Custormer Account Number
Purchase Order Number
Principal Investigator First Name
Last Name
Company/Institution
Department
Recipient Information:  
Recipient First Name
Last Name
Phone / Fax /
E-mail
Billing Address (1st line required)
City / State/ Zip Code / /
Country
Credit Cart Info (optional):  
Card Number
Name on Card
Card Type / Exp Date (MM/YY) /
Shipping Address (1st line required)  
Number, Street
City / State/ Zip Code / /
Country
Please use the box below for any special instructions or requests.

 


          © copyright 1999 by ATCG Inc.

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