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Part of Thermo Fisher Scientific  
 
 
 
Items marked with a red asterisk (*) are required.
Creating account bound to Baylor College of Medicine
1. Personal Information
* First Name:  
* Last Name:  
* Password:  
* Confirm Password:  
* You will need your password to log into your online account in the future, so please make note of it.
2. Organization Information
* Institution:  
Please select the type of organization you represent.
3. Tax Information
* Appropriate documentation (certificates: exempt, resale, etc.) should be faxed to 256-704-4849(U.S. Customers)
or 00 44 (0)1372 741414(European Customers) to prevent a delay in shipment.
4. Address Information


Billing Address
* Contact Name:  
* Institution:  
* Street 1:  
Street 2:  
* City:  
* State/Province:  
State/Province required for US and Canada
* Postal Code:  
* Country:  
* Phone:  
Fax:  
* Email:  
   
Shipping Address
* Contact Name:  
* Institution:  
* Street 1:  
Street 2:  
* City:  
* State/Province:  
State/Province required for US and Canada
* Postal Code:  
* Country:  
* Phone:  
Fax:  
* Email: