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User ID
User Password
Confirm Password
Title
First Name (Only english (A-Z,a-z) are allowed for name.)
Last Name (Only english (A-Z,a-z) are allowed for name.)
Role
Principal Investigator
Department
Institute
(Only english (A-Z,a-z) are allowed for institute.)
Address
City
State
Country
Zip Code
Telephone Number
Mobile Number
Fax Number
E-mail 1
E-Mail 2
E-Mail 3
Email me including html Email me with plain text
Recommender
Channel to Macrogen
Priority
Agree to receive advertising messages or newsletters from Macrogen?   Yes No
PO Number (VAT number)
ATTN The same as above name (name of person for billing)
Payment method
The effective effects of a credit card
Determine to correct billing errors caused by double payment problem
Reduce the time for payment
Suppress re-charge bank service fees by telegraphic transfer
Enjoy our prepayment service
-Additional credit according to amount from (U$2,000)
-No need to handle any document works such as invoices
-Saving time and focus on your own research
For details at http://dna.macrogen.com/eng/help/howtopay.jsp#1
Invoice to be sent
through
E-mail address for the
invoice and accountant		 The same as E-Mail 1
When you use more than one e-mail address, please put a Comma(,) between mail addresses.
Telephone Number
of payer 		The same as above Phone Number
Fax Number
of payer 		The same as above Fax Number
Billing Address
The same as above address
Institute (for billing)
Major Interest
Sequencing data will be
used for
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Chinese  Catalan
Others :
 
Macrogen Korea
#60-24, Gasan-dong
Geumchen-gu
Seoul, Korea		 Macrogen Europe
Meibergdreef 39
1105 AZ, Amsterdam
the Netherland		 Macrogen USA
9700 Great Seneca Hwy
Rockvill, MD, 20850
United States		 Macrogen Japan
1-1-1 Sakuragaoka,
Setagaya-ku, Tokyo
156-8502, Japan
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