Upcoming System Maintenance

Notice: Promega will be performing essential system updates January 21–25.

Order processing and shipping will pause starting January 21 at 4:00 PM CST and resume on January 26.
Please plan to order in advance for any products needed during this timeframe.

Please contact Customer Service with any questions.

New Customer Account Form | Ireland

UK | Ireland New Customer Account Form
Full Company Name*
 
 
 
Registered Office Address*
 
 
Invoice Address [if different from registered office]
 
 
 
Accounts Contact Details
Procurement Contact Details
 
Name*
 
 
Name
 
 
 
Telephone *
 
 
Telephone
 
 
 
Email*
 
 
Email
 
 
 
 
 
VAT Registration Number
 
 
 
EORI Number
 
 
 
 
If Yes, Please Enter Here:
 
 
 
 
Company Registration Number
 
 
 
Charity Registration Number
 
 
 
Framework or Pricing Agreement in place?
 
 
 
 
If Yes, Please Provide Details:
 
 
 
 
Credit Limit Required:
 
 
 
 
 
 
Current Purchasing Method with MyBio:
 
 
Preferred Purchasing Method:
 
 
 
Other
 
 
Other
 
 
 
If using eProcurement, please provide the following information
 
Platform Provider
 
 
 
Contact to discuss set up in more detail:
 
Name
 
 
 
 
Telephone
 
 
 
 
Email
 
 
 
 
UK - Contact Details of Key End Users