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Credit/Prepayment Project Set-up request
Please fill in this form to request that a project is set up under the Credit you hold with us
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* Indicates required question
Email
*
Your email
Quote number for this Credit Order e.g (Qu-01234)
*
Your answer
Please confirm who is completing this form
*
Primary Contact
Collaborator sharing the credit
Other:
First Name
(
of the primary holder of this Credit
)
*
Your answer
Last Name
(
of the primary holder of this Credit
)
*
Your answer
Email address
(
of the
primary holder of
this Credit
)
*
Your answer
Institution/Organisation
*
Your answer
Service
*
Choose
Plasmids
Short Reads
Long Reads (Strain samples)
Hybrid (Strain samples)
Metagenomics Scout (DNA samples only)
Metagenomics Pioneer (DNA samples only)
Are you planning on sending DNA OR Strain samples?
(for Short reads)
DNA samples (more than 20 samples need to be submitted in a 96-well skirted PCR plate)
Strain samples (need to be submitted in buffer tubes that will be sent to you from MicrobesNG)
Clear selection
Please indicate the number of samples you want in this batch
*
Your answer
Please advise the
full name
,
phone number
and
email addresses
of any collaborators you want to be added to the project
(the primary contact can add/remove collaborators through the project portal at all times)
Your answer
Kindly provide the full postal address, name and postcode where you would like the strain buffer tubes to be posted
(applicable only if you're sending us strain samples)
Your answer
Please be reminded you have 12 months to use up your credit. If you require an extension, kindly contact us at
info@microbesng.com
A copy of your responses will be emailed to the address you provided.
Submit
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