International Chemical Reference Substances (ICRS) Orders | EDQM - European Directorate for the Quality of Medicines

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Please complete this form to PLACE AN ORDER or to confirm a QUOTATION. If you require a PROFORMA invoice, please add
a comment in the comment box below.

All fields marked with a * are mandatory.

Customer Information

EDQM client code (1)

Your order ref

Are you a National Control Authority/Laboratory ? (Please tick) *

Yes

Billing address

Company name *

Address line 1 *

Address line 2

City *

Postcode *

State (USA only)

Country *

VAT N° (in EU only)

Contact name *

Position

Tel (incl country code) *

Fax.

E-mail *

Delivery address

(If different from billing address)

Company name

Address line 1

Address line 2

City

Postcode

State (USA only)

Country

VAT N° (in EU only)

Contact name

Position

Tel (incl country code)

Fax.

E-mail

I wish

To place an order

I wish

To confirm an order for which I received a quotation (please note that quotations are valid for 2 months).

I wish

Your EDQM quotation number *:

Catalogue code*	Reference name*	Unit price*	Quantity* (2)
Catalogue code (line 1)	Reference name* (line 1)	Unit price* (line 1)	Quantity* (line 1)
Catalogue code (line 2)	Reference name* (line 2)	Unit price* (line 2)	Quantity* (line 2)
Catalogue code (line 3)	Reference name* (line 3)	Unit price* (line 3)	Quantity* (line 3)
Catalogue code (line 4)	Reference name* (line 4)	Unit price* (line 4)	Quantity* (line 4)
Catalogue code (line 5)	Reference name* (line 5)	Unit price* (line 5)	Quantity* (line 5)
Catalogue code (line 6)	Reference name* (line 6)	Unit price* (line 6)	Quantity* (line 6)
Catalogue code (line 7)	Reference name* (line 7)	Unit price* (line 7)	Quantity* (line 7)
Catalogue code (line 8)	Reference name* (line 8)	Unit price* (line 8)	Quantity* (line 8)
Catalogue code (line 9)	Reference name* (line 9)	Unit price* (line 9)	Quantity* (line 9)
Catalogue code (line 10)	Reference name* (line 10)	Unit price* (line 10)	Quantity* (line 10)
Catalogue code (line 11)	Reference name* (line 11)	Unit price* (line 11)	Quantity* (line 11)
Catalogue code (line 12)	Reference name* (line 12)	Unit price* (line 12)	Quantity* (line 12)
Catalogue code (line 13)	Reference name* (line 13)	Unit price* (line 13)	Quantity* (line 13)
Catalogue code (line 14)	Reference name* (line 14)	Unit price* (line 14)	Quantity* (line 14)
Catalogue code (line 15)	Reference name* (line 15)	Unit price* (line 15)	Quantity* (line 15)
Catalogue code (line 16)	Reference name* (line 16)	Unit price* (line 16)	Quantity* (line 16)
Catalogue code (line 17)	Reference name* (line 17)	Unit price* (line 17)	Quantity* (line 17)
Catalogue code (line 18)	Reference name* (line 18)	Unit price* (line 18)	Quantity* (line 18)
Catalogue code (line 19)	Reference name* (line 19)	Unit price* (line 19)	Quantity* (line 19)
Catalogue code (line 20)	Reference name* (line 20)	Unit price* (line 20)	Quantity* (line 20)
			TOTAL Euros

Comments or additional information

Comments:

(1) If you have previously ordered from the EDQM, you will be able to locate your EDQM client code on your invoice.

(2) A Ph. Eur. Reference standard may include several individual vials (see catalogue) in such instances do not order in terms of the total number of vials but in sales units.

(3) The prices quoted in our catalogue as well as in our databases (RS, ISA and ICRS) are exclusive of duties and taxes.

Order handling charges will be applied (please see document "Order & Dispatch of EDQM products" on our website).

I have read and agree with the EDQM - Council of Europe Terms and Conditions of Sales

Security

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