Quotation request

Venoms - Toxins - Alkaloids - Plant Compounds - Ion Channel and Receptor Ligands

Print this page

LATOXAN
20, Rue Léon Blum
26000 Valence - France

Phone : +33.4.75.41.91.91
Fax : +33.4.75.41.91.99
Email : contact@latoxan.com

Home	About	Products	Advanced search	Members
Home Page > Back > Quotation request

From

First Name*

Last Name*

EMAIL*

Confirm Email*

Company*

Address

ZIP Code

Town*

Country*

Comments

* obligatory details

QUOTATION REQUEST

Product ID

L1106

Name

Bitis nasicornis (Burundi)

URL

http://www.latoxan.com/VENOM/SNAKE/Bitis-nasicornis-(Burundi).html

Please complete needed quantities below :

x 100 mg

x 500 mg

x 1 g

Would you like to add Technical Documents ? (For Venoms Only)

Pure Venom Master File : 80.00€
Ref : L1106_PVMF

Product Specification Sheet : 80.00€
Ref : L1106_PSS

Safety Data Sheet : Free of charge
Ref : L1106_SDS

Certificate of Origin : 50.00€
Ref : L1106_CO

Confirmation Code (Anti-Spam Measure)

Confirmation Code* :
* Case sensitive

More information about Anti-Spam Measure

Your demand is ready now !

Please press the "Send" button below to execute.

You'll get an email confirmation in a few minutes and our reply within 24 hours (business hours).

Thank you for visiting us.

Thu, 09 Sep 2010 09:14:05 +0200