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Get Identicell Payment Agreement Form - Identicell

*: Country*: International Purchase order (IPO) or EAN (Danish customers)* : Person reference : S kontostreng (customers in Region Midt) will cover the expense of the ordered IdentiCell tests. Please see prices and discounts from the IdentiCell submission form. Danish customers will be billed in Danish crowns (DKK). Contact information Name*: E-mail*: Phone*: Signature* Molecular Diagnostic Laboratory / IdentiCell Payment Agreement form v3 - 21-01-2015, katado Date* Please fill in and s.

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