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Toll Free North America:
1 (866) 813-6354
Direct Line:
1 (613) 723-5757
Email:
info@DNAgenotek.com
sales@DNAgenotek.com
Welcome

Thank you for your interest in our Oragene•DNA Product. Please provide the following information. You will receive confirmation of your order within 24 hours. If you would prefer to speak to one of our sales representatives call 1.866.813.6354 x001

* indicates required information.
 
Step One: Order Information
 
I would like to:
 * Purchase
    Request a quote
    Receive 4 free kits for testing
 
Product:
 * Oragene•DNA VIAL Format (OG-100)   Quantity
    Oragene•DNA DISC Format (OG-250)   Quantity
    Oragene•DNA TUBE Format (OG-300)   Quantity
    Oragene•RNA VIAL Format (RE-100)   Quantity
    Saliva Collection for Young Children
– Accessory Kit (CS-1)		   Quantity
    Complete Mailing Solution
– Accessory Kit (MO-2)		   Quantity
 
Step Two: Shipping Information
 
Contact First Name:
 *
Contact Last Name:
 *
Institution/Organization:
 *
Department:
  
Street:
 *
City:
 *
State/Provice:
 *
Zip/Postal Code:
 *
Country:
 *
Phone Number:
 *
Email Address:
 *
 
Step Three: Billing Information

The following information is only required if you are making an order:
 
    Check if info is same as above
 
Purchaser First Name:
  
Purchaser Last Name:
  
Institution/Organization:
  
Department:
  
Street:
  
City:
  
State/Provice:
  
Zip/Postal Code:
  
Country:
  
Phone Number:
  
Fax Number:
  
Email Address:
  
 
Method of Payment:
   Visa/Mastercard  
    Purchase Order P.O. Number:
 
    Note: Taxes and duties are not included.
If you wish to pay with a credit card we will contact you for your credit card information.
 
Desired method of shipping:
   Prepay & Invoice  
    Collect  
 
The following information is only required if you wish to ship collect.
 
   
Carrier:
  
   
Account:
  
 
 
Step Four: Additional Information
 
How did you hear about us?:
 * Article On-Line Directory
    Biocompare Search Engine
    Direct Email Tradeshow
    Direct Mail Word of Mouth
 
    I would like to receive periodic product, pricing and application updates?
 
   
 
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