DCCBC only accepts payments for cultures by check or money order at this time.
By placing this order you agree to DCCBC's Terms and Conditions.

* indicates required field


First Name: *
Last Name: *

Street Address: *
City: *
State: *
Zip Code: *
Country:
Affiliate Type: *	educational / non-profit company / private
Name of Affiliate Institution:
Order delivery within the USA? *	yes no

Tel:
FAX:
Email: *

ORDER:

Cultures are priced at US$15 and US$50 per culture, for educational institutions and companies, respectively. An additional US$50 will be charged for shipping and handling within the United States. For all other countries, please contact DCCBC directly by email to determine shipping and handling costs and enter the agreed amount under "Shipping & Handling" in this form.

Please take care in entering the DCCBC ID# for each separate culture to insure proper processing of your order.

DCCBC #	STRAIN	QTY	PRICE
			$ *
			$
			$
			$
			$
Shipping & Handling			$ *
			$