Fungal Genetics Stock Center


On-Line Material Request

Name:

Mailing address:
NOTE: We must have a street address for standard FedEx shipping.

Phone number:

FAX number:

E-Mail address:

Enter your Purchase order number, if you have one:

Please use this space to describe the information or strains that you need :

Use this space for any special instructions (eg., a different invoice address):
Please indicate the source of funding for your research and, if you are a student, the name of your advisor.

Do not send credit card information on this form. Questions on payments?



Check this box to indicate that you agree to the following terms:

1) I agree to arrange payment or ask for a waiver.
2) I agree to acknowledge the FGSC in any publication arising from the use of this material.


 



Return to the FGSC main page

6/8/10 KMC