AA

European Pharmacopoeia Reference Standards

Request a proforma invoice or a quotation


All fields with an asterisk (*) are required. We cannot fill your order without this information. Please ensure the information is correct.

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  : 

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 request for proforma invoice
To request a quotation (Please note quotations are only valid one month.)
Please complete using only information found in the EDQM Reference Standard Catalogue. Remember to check the availability of the reference standard before ordering.
Catalogue code * Reference
name *
Unit price * Quantity
(2) *
Extra charges
code (3) *
Total goods
(Euros)
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) A reference standard may include several individual vials (see catalogue, in such instances do not order the total number of vials.

(3) Extra delivery charges and price.
The prices quoted in our catalogue are exclusive of duties and taxes. Extra delivery charges will be applied, please see our EDQM Reference Standards webpage for details.

Thank you for your request.
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