Accugenix Portal Account | Charles River

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Request for an Accugenix^® Customer Portal Account

Contact Information

First Name

Last Name

Email

Phone Number

Does your site currently send samples to us for identification?

Yes

No

Organization Information

Organization Name

Department

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Purchasing Department Billing Information

Name

Email

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Billing Language

Sample Submission

When do you anticipate that you will send samples?

Yes, I would like to receive email communications from Charles River and allow for my information to be used for any follow-up requests to identify potential products or services relevant to my needs.

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