Get Fluoro-jadec Order Form - Histo-chem

Filling out the Fluoro-JadeC Order Form - Histo-Chem online is a straightforward process. This guide provides step-by-step instructions to help you complete the form efficiently and accurately, ensuring your order is processed without delays.

Follow the steps to complete the online order form.

1. Press the ‘Get Form’ button to obtain the document and open it in your preferred editing tool.
2. In the first section, enter the quantity of Fluoro-Jade C you wish to order. You can choose between 30 mg or 150 mg. Make sure to indicate the product number alongside the corresponding quantity.
3. Next, fill out the shipping address where the tracer should be delivered. Include your name, institution, department, address, city, state, zip code, country, telephone number, and email address.
4. Then, complete the section for the billing address where the invoice should be sent. This includes similar details: name, institution, department, address, city, state, zip code, country, telephone number, and if applicable, your VAT number.
5. For payment, fill in the Credit Card information section, including the credit card number, expiration date, CVV number, and the name on the credit card. Ensure the credit card holder's email address is also provided, as it is required for all credit card orders.
6. Review all the sections for accuracy, then save your changes. You can download or print the filled-out form, or share it as needed.

Complete your Fluoro-JadeC Order Form online today for a seamless ordering experience.