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  •   OLIGO SUBMISSION FORM
     
    ORDER INFORMATION BILLING INFORMATION
    My name: Bill to:
    Company: Address 1:
    Address 1: Address 2:
    Address 2: PO:
    Tel: E-mail: Fax:
     
    ID Primer Seq(5'to3') Base Pack (OD/Vial) Qty.(OD) Purification Unit Price Labeling
    ID Do not enter, for internal use only
    Primer One oligo, one unique name
    Seq(5'to3') Enter capital letters, and do not enter space or other symbols
    Pack Enter the number of vials per oligo


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