Request for an Accugenix® Customer Portal Account
Contact Information联系方式
Contact Information联系方式
First Name 名
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Last Name 姓
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Email 电子邮件地址
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Does your site currently send samples to us for identification?贵公司目前是否利用本公司做鉴定?
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Yes是
No否
Organization Information贵公司信息
Organization Information贵公司信息
Organization Name公司名称
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Department 部门
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Address 1地址1
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Address 2地址2
City/Town 城市/县
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Province 省
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Postal Code邮证编码
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Country 国家
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Purchasing Department Information 采购部门信息
Purchasing Department Information 采购部门信息
Contact Name 姓名
*
Address 1-地址1
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Address 2-地址2
City/Town-城市/县
*
Province-省
*
Country国家
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Language语言
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Yes, I would like to receive email communications from Charles River and allow for my information to be used for any follow-up requests to identify potential products or services relevant to my needs.
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我愿意接受Charles River Labs通过电子邮件发送测序鉴定介绍以及Charles River Labs其他服务的推送。
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