Service Order Form – PO Submission

"*" indicates required fields

Customer Details

Name*

Affiliation / Company*

Lab Name

Address

Email*

Phone

Project Details

Required Services:

Protein Purification

Binding Affinity & Protein Characterization

Protein Crystallization & Structure Determination

Other

Project Name*

Project Description

The period of work/service

Preferred Start Date

Additional Comments / Special Requests

PO File*

The PO must include payment terms, VAT, and the company stamp.

Accepted file types: pdf, docx, png, jpg, jpeg, Max. file size: 1 MB.

Consent*

I confirm that the attached purchase order is valid and corresponds to the requested services.

I hereby confirm the order of the work/service for the specified period and undertake to transfer payment according to the specified services I will receive upon completion of the work/service.

I have read and agree to the terms of the Service Agreement. I confirm that I am authorized to request this service and commit to the payment as specified.

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Service Order Form – PO Submission

Customer Details

Project Details