FAX ORDER FORM |
Please print and fill out this form and send or fax it to:
EnerGene Solutions for Molecular Biology Taubengaesschen 1 D-93047 Regensburg GERMANY Fax-Number: +49 (941) 56 31 31 |
Customer # (if known): | __________________ |
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Name: | __________________________________________ |
Company / Institute: | __________________________________________ |
Department: | __________________________________________ |
Street: | __________________________________________ |
City / ZIP: | __________________________________________ |
Country: | __________________________________________ |
Phone: | __________________________________________ |
Fax: | __________________________________________ |
E-mail: | __________________________________________ |
Quantity | Article | Catalog No. | Price (EURO) | |
x | NOWA | 2 x 250 ml | W001 0250 | 79.00 |
---|---|---|---|---|
x | Enlight | 0.5 Lit. | R001 0500 | 59.00 |
x | Enlight | 1.0 Lit. | R001 1000 | 99.00 |
x | Silver Surfer | 40 mini gels | W003 0040 | 119.00 |
x | Snow White | 25 mini gels | W002 0025 | 79.00 |
x | Deep Blue | 0.5 Lit. (50 mini gels) | W004 0500 | 46.00 |
x | Deep Blue | 1.0 Lit. (100 mini gels) | W004 1000 | 81.00 |
x | Bradford | 500 ml | W005 0500 | 89.00 |
x | NuClean | 400 TAE-prep. | N001 0400 | 89.00 |
x | NuClean II | 400 TAE-, 275 TBE-prep. | N002 0400 | 95.00 |
x | pEG-His1 | 20 µg | V001 0020 | 179.00 |
x | GLOW | 10 ml | M001 0010 | 79.00 |
x | T.Wax | 500 beads | P001 0500 | 43.00 |