Order Form (International Direct Sales)
Please fill out the information below to have a member of our team contact you. Note: All customs and import fees are the responsibility of the customer. Cartagen charges the actual shipping cost. Note: We only accept international orders from countries that do not have a licensed Cartagen distributor (click here for a list). * = Required fields.
First Name:*
Last Name:*
Title:
Institute:*
Department:
Customer No. (if applicable)
Shipping Address:*
Billing Address: (if different from Shipping)
Phone:*
Fax:
E-mail:*

---

Select Product(s):	Quantity
FREE Sample BioMasher Kit (free USPS shipping)
In an effort to support your needs, Cartagen would like to know what kind of sample(s) you will be working with:
20510-005 Genomic DNA Extraction Kit: Food Samples, 5 reactions
20510-050 Genomic DNA Extraction Kit: Food Samples, 50 reactions
20510-200 Genomic DNA Extraction Kit: Food Samples, 200 reactions
20610-005 Genomic DNA Extraction Kit: Plant Samples, 5 reactions
20610-050 Genomic DNA Extraction Kit: Plant Samples, 50 reactions
20610-200 Genomic DNA Extraction Kit: Plant Samples, 200 reactions
20610-096 Genomic DNA Extraction Kit: Plant Samples, 4 x 96 reactions
20610-097 Genomic DNA Extraction Kit: Plant Samples, 12 x 96 reactions
20700-005 Rapid Homogenization: Plant Leaf DNA Amplification, 5 rxn
20700-050 Rapid Homogenization: Plant Leaf DNA Amplification, 50 rxn
20700-250 Rapid Homogenization: Plant Leaf DNA Amplification, 250 rxn
20700-500 Rapid Homogenization: Plant Leaf DNA Amplification, 500 rxn
20710-005 Rapid Homogenization: Arthropod DNA Amplification, 5 rxn
20710-050 Rapid Homogenization: Arthropod DNA Amplification, 50 rxn
20710-250 Rapid Homogenization: Arthropod DNA Amplification, 250 rxn
20810-005 Genomic DNA Extraction Kit: Arthropod Samples, 5 rxn
20810-050 Genomic DNA Extraction Kit: Arthropod Samples, 50 rxn
20810-200 Genomic DNA Extraction Kit: Arthropod Samples, 200 rxn
20810-096 Genomic DNA Extraction Kit: Arthropod Samples, 4 x 96 rxn
20810-097 Genomic DNA Extraction Kit: Arthropod Samples, 12x 96 rxn
21501-010 cDNA - Plant Normal Tissue: Arabidopsis, 10 reactions
21502-010 cDNA - Plant Normal Tissue: Corn, 10 reactions
21503-010 cDNA - Plant Normal Tissue: Orange, 10 reactions
21504-010 cDNA - Plant Normal Tissue: Potato, 10 reactions
21505-010 cDNA - Plant Normal Tissue: Rice, 10 reactions
21506-010 cDNA - Plant Normal Tissue: Soy Bean, 10 reactions
21507-010 cDNA - Plant Normal Tissue: Wheat, 10 reactions
30500-050 Total RNA Isolation Kit, 50 reactions
30500-096 Total RNA Isolation Kit, 4 x 96 reactions
30600-020 mRNA Isolation Kit: Micro Scale, 20 reactions
30700-006 mRNA Isolation Kit: Mid to Large Scale, 6 reactions
30700-018 mRNA Isolation Kit: Mid to Large Scale, 18 reactions
40010-050 BioMashers, no o-ring, 80-145 µm, polypro, 1.5 mL, 50
40011-050 BioMashers, o-ring, 80-145 µm, polypro, 1.5 mL, 50
40012-050 BioMashers, no o-ring, 80-145 µm, polypro, 2.0 mL, 50
40013-050 BioMashers, o-ring, 80-145 µm, polypro, 2.0 mL, 50
40020-050 BioMashers, no o-ring, 60-120 µm, polypro, 1.5 mL, 50
40021-050 BioMashers, o-ring, 60-120 µm, polypro, 1.5 mL, 50
40022-050 BioMashers, no o-ring, 60-120 µm, polypro, 2.0 mL, 50
40023-050 BioMashers, o-ring, 60-120 µm, polypro, 2.0 mL, 50
40030-050 BioMashers, no o-ring, 20-60 µm, polyethylene, 1.5 mL, 50
40031-050 BioMashers, o-ring, 20-60 µm, polyethylene, 1.5 mL, 50
40032-050 BioMashers, no o-ring, 20-60 µm, polyethylene, 2.0 mL, 50
40033-050 BioMashers, o-ring, 20-60 µm, polyethylene, 2.0 mL, 50
80100-025 Tube Racks, 25 count
80100-100 Tube Racks, 100 count
80200-300 SmartSpatulas, standard, blue, 210 mm, Box of 300
80210-300 SmartSpatulas, standard, opaque, 210 mm, Box of 300
80220-300 SmartSpatulas, antistatic micro, opaque, 140 mm, Box of 300
80230-150 SmartSpatulas, macro, green, 310 mm, Box of 150

---

Purchase Order No.:
Payment Method:	Credit Card (Customer Service will contact you for card information) Cartagen Account (Net 30) acct. no.
Questions/Comments:

---

©2003 - 2006 Cartagen Molecular, Inc. All rights reserved.