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Click ‘Get Form’ to open the Rabbit Order Form 090115 in the editor.
Begin by filling out the 'SHIP TO' and 'BILL TO' sections. Enter your name, institution, lab, department, building, address, room number, city, state/zip code, phone number, fax number, and email (required for shipment notification).
In the 'IMMUNOGEN' section, provide the identification of the immunogen supplied by you along with the quantity in mg. Select the form of immunogen: solution, gel strip, or lyophilized.
Choose your desired package from either 'CUSTOM PACKAGE' or 'PROSCI PACKAGES'. Fill in the corresponding costs for each selected service such as peptide synthesis or antibody production.
Indicate your shipping preferences by selecting how you would like serum shipped after bleeds. Provide any additional information regarding protein details in the designated area.
Finally, review all entries for accuracy. Sign and print your name along with the date at the bottom of the form before submitting.
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