User ID
User Password
Confirm Password
Title
First Name
Last Name
Principal Investigator
Department
Institute
Address
City
Country
State
Zip Code
Telephone Number
Mobile Number
Fax Number
E-mail 1
E-Mail 2
E-Mail 3
Recommender
PO Number (VAT number)
ATTN (name of person for billing)
Payment method
Invoice format
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)
 
Copyright 2006-2009 (C) Macrogen Corp. All rights reserved
9700 Great Seneca Highway, Rockville, MD 20850 USA
TEL : (301) 251-1007, 0114 | FAX : (301) 251-4006 | customer@macrogenusa.com