Order Form: You can order either with a credit card or with a purchase order. Below is the form for credit card purchase. Here is the form for Purchase orders. Print out the form, fill it in and mail or fax to us. Alternately copy the form into your email program, fill it out there and email it to admin@encorbio.com, or download a Word version of this form here: Download "orderform.doc" by mouse selecting this file from the list.

Name:
Institution:
Address1:
Address2:
City:
State and Zip Code:
Country:
Email:
Phone:
Fax:
Credit Card:	Master Card Visa American Express
Credit Card Number:
Expiry Date:
Items requested: Unless otherwise indicated, $200 per aliquot in USA and Canada, plus shipping by Fedex
Catalogue#: Catalogue#: Catalogue#: Catalogue#: Catalogue#:	number required number required number required number required number required
Shipping options	Fedex shipping envelope ($18 in USA) Fedex shipping in box plus ice packs ($36 in USA)
	Mail or fax to; EnCor Biotechnology Inc. Suite 40, 4949 SW 41st Boulevard Gainesville Florida 32608 Tel: (352) 372 7022 Fax: (352) 372 7066 Email: admin@encorbio.com