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Proseq, Inc.  New Account Form:

ProSeq Account number*                                                            *will be assigned upon sample receipt


For all accounts, a copy of an authorized Purchase Order must be faxed to: (978) 213-9922
or enclosed  on the order form accompanying the sample(s) to ProSeq Inc., prior to
work being performed.

All accounts outside the USA must make payments via wire [bank to bank] transfer unless your company or university has a US bank account.

Please check the appropriate method for payment

                Mail bill to Accounts Payable Department

                Complete address and telephone/fax of your Accounts Payable Department

                                                                                                                                                    

                                                                                                                                                    

                                                                                                                                                    

               Contact person:                                                                                                        

               FAX bill to Accounts Payable Department  fax # _______________________

               For Wire (bank to bank) transfer: Accounts outside the US contact us by e-mail
        at proseq@tiac.net, telephone (978) 213-9911 or by fax at (978)213-9922
        or e-mail: Proseq@tiac.net for further information