Credit Application

Please read our Terms and conditions and Privacy carefully before you fill out this form. It will take  24 to 48 hours to verify your information and set up your account. After your account is set up, we will contact you via e-mail or telephone call to process your orders. We greatly appreciate your patience and understanding.

 

  Principal and Purchase Officer's Information:

  Principal's Title:

  *Principal's First Name:     *Last Name: 

  *Tel #:         Fax #: *E-mail: 

  Purchasing Officer's Title:

  *Purchasing Officer's First Name:    *Last Name: 

  *Tel #:         Fax #:

  *Shipping Address:   

  *City:         *State:   *Zip Code:   

  *Account Payable Address:  

  *Tel #:    Fax #:

  *City:          *State:    *Zip Code:   

  Taxable:   Tax Exempt #:

  Please list at least 3 trade / vendor references below:

  *a. Company Name:    *Tel #:    *Your Account #: 

  *b. Company Name:    *Tel #:    *Your Account #: 

  c. Company Name:     Tel #:     Your Account #:

  Bank References:

  Name of the Bank:   Tel #:

  Bank Address: 

  City:    State:    Zip Code:

  Account Last 4 Digital #:

  Contact Person:

                       

                         

 
 
Welcome to CELLUTRON
 

 

Nonperfusion Isolation system

 

 

 

 

 

 

 

 
 

All Cellutron products should be used only in accordance with labels on the products and other products literature made available.
All Cellutron products are labeled “For Research Use Only”. Products are not approved for human or veterinary use or for application to humans.


Cellutron Life Technologies, 2012