Order Form

*Required fields

Contact Information

Transport Information

For clients dropping off samples at the UNC Lineberger Comprehensive Cancer Center Tissue Culture Facility in Chapel Hill, NC, skip to the cell information section. You will be billed through the Tissue Culture Facility after work is completed.

Billing Information

Payment Information

Invoice will be sent after work is completed and results are emailed. Payment is due 30 days from invoice date.
If paying by credit card, after the work is completed and the results are emailed, the Accounts Payable person listed above will be contacted for credit card information details.

Cell Information

Sample 1
Sample 2
Sample 3
Sample 4

If sending more than four cell lines on a given day, please complete another Order Form.