INFORMATION REQUEST

INFORMATION REQUEST

Please complete details about your enquiry to assist us with providing you with an accurate response.

Contact Person*

First and last name

Company Name

Faculty / Institute (if relevant)

Address*

Please provide your delivery address

Phone / Mobile*

Please include your country code

Email*

Please select the category below that best describes your organisation*

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Please select the option below that best describes your enquiry*

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Catalog Products

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mRNA catalog product

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Modified Nucleotides

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Capping

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Amount Required

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Manufacturing Services

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Development Services

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Other Options

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PROJECT DETAILS

Project Description

Please provide a brief project description, including the intended end application.

Please attached any relevant literature references, documents, images, results, etc:

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SAFETY AND REGULATORY INFORMATION

Are you sending samples from outside of Australia, originally from overseas, or subject to state quarantine restrictions?*

Yes

Do your samples require special storage or handling according to the OGTR (Office of the Gene Technology Regulator) or an IBC (Institutional Biosafety Committee)?*

Yes

Do your samples contain any hazardous substances?*

Yes

How did you hear about us?*

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If 'other' - how did you hear about us?

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