University of Southern California
USC Norris Comprehensive Cancer Center
If you are a patient, please contact Keck Medical Center of USC at 800-USC-CARE.

Bioreagent & Cell Culture Core Service Request Form



Orders are no longer accepted using this form. Orders must now be placed using the CORES ordering system. Click here for more information about CORES.






All order forms now require you to be logged in before placing orders. Please click here to log in or click here to create a USC Norris website account.
P.I.  

Contact Person Ordered:
Location
Phone
Email      Fax
Comments
     

Service Price ($) Quantity
 
 
 
 
 
 
 

= Total $    

Billing
If outside USC, you may use a PO, including CHLA and Doheny Inst.

Payment Method:




 
USC Account # or PO:
Organization   (optional)
Grant #   (optional)
Human Stem Cell research? Under penalty of law, please honestly indicate if this order is for non-Federally approved Human Stem Cell research? Federal regulations require these projects not be subsidized by federal funds. If yes, additional costs may apply.  
Invoice Mailing Address (POs)
Enter Address
Refresh Address

 
*To copy order completed emails to your PI/Lab Manager, contact us.