Bacillus Genetic Stock Center Strain Request

Please use this form to request strains from the BGSC. For-profit users must enter a purchase order number. To order with a procurement or credit card, please call 614-292-5550 between 8:00 a.m. and 5:00 p.m. Eastern Time. Non-profit users will be requested (via letter) to make a small voluntary payment or donate strains to the BGSC. Non-profit users will not be turned away due to an inability to pay.

Please provide the following contact information:

Name

Title

Lab Head/PI

Organization

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

FAX

E-mail

URL

For international users: some customs departments require a reference number, such as a Tax code, VAT number, or importer code. If this requirement applies to you, please enter the appropriate code here:

Importer's Reference

Strains sent to academic or other non-profit users are normally shipped via USPS first class (airmail if sent outside the US). Strains sent to for-profit users are sent via an express courier. Non-profit users may up-grade to express delivery if they provide us with a FedEx account number to bill:

Fedex Account number (optional)

Internal billing number (optional)

Please list the item(s) you are requesting:

BGSC Accession No. or Original Strain Code

BILLING (FOR-PROFIT USERS ONLY)

Purchase order #

BILLING ADDRESS

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Do you have any comments or questions?

Name
Title
Lab Head/PI
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
URL

	BILLING ADDRESS
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

Bacillus Genetic Stock Center Strain Request

Last revised: May 06, 2008