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International Chemical Reference Substances (ICRS)

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If the delivery address is different to the billing address, it is very important that you tell us.

Customer information:
EDQM client code (1) :     Your order ref  :     Date  : 
Are you a National Control Authority/Laboratory?(Please tick)*Yes  No  
BILLING ADDRESS
Company name* 
Address line 1*
Address line 2
City*
Postcode*
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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 request for proforma invoice
To request a quotation (Please note quotations are only valid one month.)
Remember to check the availability of the standard before ordering.
Order code * Reference
substance *		 Unit price * Quantity
*		 Total goods
(Euros) (2)
Total (Euros) 

Comments or additional information:


(1) If you have ordered with the EDQM before, you should have received an EDQM client code on your invoice.

(2) Extra delivery charges and price.
The prices quoted in our database are exclusive of duties and taxes. Extra delivery charges may be applied, please see our WHO ICRS Reference Standards webpage for details.

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