If you encounter any problems with this form you may send the information 

By E-mail to info@genosphere-biotech.com 
By fax to +33-142 71 70 23.

Sample Submission Forms

Some services require that you send us your sample(s) (DNA, membrane, protein…). Please refer to the corresponding service section for sample requirements.

It is essential that you fully and precisely describe the content of your sample. 
To that end you may download the appropriate form below. Once on your hard drive, you will need to print the form and fill out with most accurate information. Please include the form along with a copy of your purchase order and your sample in the package. 
Alternatively, you may use your own letterhead for sample description. 
For a faster and improved processing of your order, you may wish to inform us of your sending a sample (with courier airway bill number when available): info@genosphere-biotech.com

Forms for download : 
 Sample for protein sequencing (pdf)

Placing an Order

Orders may be placed online, by e-mail, fax or post. In all cases, acceptable orders should include the following information:

• Purchase Order Number
• Shipping address (street address, no PO BOX)
• Invoicing address
• EU members: VAT number (or VAT exemption certificate)
• Quotation reference number (if applicable)
• Ordered product information (sequence, quantity, modifications, purification, etc.)

For administrative purposes, we do require a copy (fax, email, or post) of your institutional purchase order. 

> SENDING YOUR SAMPLES Genosphere Biotechnologies 
Receivings
37 rue de Sevres 
92100 Boulogne-Billancourt 
FRANCE 
Tel (local dialing): 01 42717021

> SHOULD YOU NEED A PROFORMA INVOICE, A CONFIDENTIALITY AGREEMENT, PLEASE CONTACT US:
info@genosphere-biotech.com