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
		Organisation
Purchasing department details
Billing address		Phone
		Fax
		Email

	Comments	Please indicate the service you initially require Genotyping Sequencing Whole genome amplification Extraction Software Chemistry Plates & Seals Equipment Please contact me to discus requirement How did you hear about us?

Main office Tel +44 (0) 1992 470 757 info@kbioscience.co.uk

Customer application form

Main office
Tel +44 (0) 1992 470 757
info@kbioscience.co.uk