| Information on E-Mail |
| Order Sequences: Please write in your E-Mail or in attached sheet. |
| Customer Information: Please fill in the following necessary items. |
| E-Mail: oligo@ngrl.co.jp |
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| -- Necessary Information -- |
| ◆ Customer Name |
| ◆ Affiliation·Name of classroom |
| ◆ Mailing Address |
| ◆ Telephone Number·FAX Number |
| ◆ Reagents Distributor |
| ◆ Content of the Order |
| Grade (GEL filtration grade/OPC grade/HPLC grade) |
Modification Method(Unmodified/modified) ⇒ If modification required, kinds of modification and modification site |
| Form of Product(Lyophilized/Aqueous Solution) |
| Oligo Name · Base Sequences · Number of Bases |
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| ⇒ Excel It is convenient if you order many tubes. |
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