Customer application form

KBiosciences requires this form to be filled before we can process your first order.
Please make sure that all the fields in bold are completely filled in.
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Main contact
Name
Email
Phone
Department
Organisation details EEC countries only
Address
VAT number
VAT excempt
if VAT excempt please send certification,
NO work can commence without vat doc or charity number.
Organisation
Purchasing department details
Billing address
Phone
Fax
Email
 
  Comments  

Please indicate the service you initially require

Genotyping
Whole genome amplification
Extraction
KASPar by Design
KASPar On Demand
Software
Plates & Seals
Equipment

Please contact me to discus requirement

How did you hear about us?