ADDITIONAL KITS / MATERIAL ORDER FORM
FOR ASIA PACIFIC

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*制药赞助商：

*Requestor's First Name:

*请求者的姓氏：

*Complete Protocol Number:

Please include all alpha/numeric characters.

Covance Project Number:Please include your Project Number!

*Principal Investigator First Name:

*首席调查员姓氏：

*Site Number:

*Country:SELECT COUNTRYAfghanistan阿尔巴尼亚AlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustralia奥地利AzerbaijanBahamasBahrain孟加拉国巴巴多斯白俄罗斯BelgiumBelizeBeninBermudaBhutan玻利维亚波斯尼亚和黑塞哥维那博茨瓦纳灌木岛BrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgaria布基纳法索Burundi柬埔寨CameroonCanada佛得角Cayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, the Democratic Republic of the库克群岛哥斯达黎加Cote D'Ivoire克罗地亚CubaCyprusCzech Republic丹麦DjiboutiDominica多明尼加共和国Ecuador埃及萨尔瓦多赤道几内亚Eritrea爱沙尼亚埃塞俄比亚Falkland Islands (Malvinas)Faroe IslandsFijiFinland法国French GuianaFrench Polynesia法国南部领土Gabon冈比亚GeorgiaGermanyGhanaGibraltarGreece格陵兰GrenadaGuadeloupe关岛GuatemalaGuineaGuinea-BissauGuyanaHaiti听到岛屿和麦当劳群岛Holy See (Vatican City State)HondurasHong Kong匈牙利IcelandIndiaIndonesiaIran, Islamic Republic ofIraq爱尔兰IsraelItalyJamaica日本Jordan哈萨克斯坦Kenya基里巴斯Korea, Democratic People's Republic ofKorea, Republic of科威特KyrgyzstanLao People's Democratic RepublicLatviaLebanon莱索托利比里亚利比亚阿拉伯Jamahiriya.Liechtenstein立陶宛Luxembourg澳门马其顿，前南斯拉夫共和国MadagascarMalawiMalaysiaMaldivesMali马耳他Marshall IslandsMartiniqueMauritania毛里求斯Mayotte墨西哥Micronesia, Federated States of摩尔多瓦，共和国摩纳哥MongoliaMontserratMorocco莫桑比克MyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew Caledonia新西兰尼加拉瓜尼日尔尼日利亚纽厄斯诺福克岛Northern Mariana Islands挪威Oman巴基斯坦帕劳Palestinian Territory, OccupiedPanama巴布新几内亚ParaguayPeruPhilippinesPitcairnPolandPortugalPuerto Rico卡塔尔ReunionRomaniaRussian Federation卢旺达圣海伦娜Saint Kitts and NevisSaint LuciaSaint Pierre and Miquelon圣文森特和格林纳丁斯萨摩亚San Marino圣多美和普林西比沙特阿拉伯塞内加尔塞尔维亚和黑山Seychelles塞拉利昂Singapore斯洛伐克SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich Islands西班牙斯里兰卡Sudan苏里南Svalbard and Jan Mayen斯威士兰Sweden瑞士阿拉伯叙利亚共和国TaiwanTajikistanTanzania, United Republic of泰国Timor-Leste.TogoTokelau汤加Trinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvalu乌干达UkraineUnited Arab Emirates英国United StatesUnited States Minor Outlying Islands乌拉圭UzbekistanVanuatu委内瑞拉Viet NamVirgin Islands, BritishVirgin Islands, U.s.瓦利斯和福田撒哈拉沙漠西部YemenZambiaZimbabwe

*Phone Number:

*Email Address:

*确认电邮地址：

View Standard and Expedited Delivery Timeline Chart

• Orders requiring Sponsor approval may extend the delivery date.
• Due to regional holiday and transit schedules, actual delivery dates may be within 3 business days of the date indicated.
• 允许12个工作日供中国交货。
  Allow 10 working days for Japan if your kits are produced in US.
  Allow 14 working days for delivery for Japan for kit customization.
  Allow 17 working days for delivery for Japan if your kits are produced in Japan.

*标准运送
Please refer to chart for estimated delivery timelines.

*Expedited Delivery
Please refer to chart for estimated delivery timelines. Expedited orders incur an additional fee ($87.35 USD) and additional shipping and handling when applicable. Expedited shipments may require sponsor approval prior to order entry.

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Lab Kit