Get Identicell Payment Agreement Form - Identicell

Filling out the IdentiCell Payment Agreement Form is a critical step in processing your order for IdentiCell tests. This guide will walk you through each section of the form, providing you with clear instructions to ensure that you complete it accurately and efficiently.

Follow the steps to fill out the IdentiCell Payment Agreement Form online

1. Press the ‘Get Form’ button to acquire the form and open it for editing.
2. In the first section labeled 'Payment information', you will need to provide your institution, firm, or department name in the designated field marked with an asterisk (*). This information is essential for proper billing.
3. Next, fill in your complete address, including street, zip-code, and city, ensuring all marked fields are completed.
4. Indicate the country where your institution is located; this will help in processing your payment correctly.
5. If applicable, provide your International Purchase order (IPO) or EAN if you are a Danish customer. This field is mandatory for proper identification.
6. You may also enter a person reference or ØS kontostreng if you are a customer located in Region Midt, which helps in aligning with internal accounting.
7. In the 'Contact information' section, input your name, email address, and phone number. These fields are also marked with an asterisk (*) indicating that completion is essential.
8. You will then need to provide your signature in the designated area to confirm your agreement and authorization.
9. Finally, enter the date on which you are filling out the form. This is crucial for transactional records.
10. After completing the form, review all entries for accuracy. You can then save your changes, download, print, or share the completed form as required.

Begin filling out the IdentiCell Payment Agreement Form online today!