New Account Application

Thank you again for your interest in setting up a customer account to purchase your research product needs from New England Biolabs®, Inc. (NEB®).

Before beginning the new account application, please be sure you have:

1. Your organization’s complete address information including headquarters, billing and shipping.

2. A pdf copy of your tax exempt certificate, if applicable.

3. Two trade references and one bank reference will be required to be considered for a line of credit and NET30 terms.

4. Finally, you will be asked to complete a section on your intended use of NEB products. If you are requesting resale rights, please have the details on which products and to whom and where you would like to resell.

Once your application is submitted, please allow up to 48 hours for it to be reviewed.

Your Information

First Name

Last Name

Phone Number

Email Address

Instititution/Company Informaton:

Institution/ Company Name:

Web Address:

Type of Institution

Type of Company

Years in Business

Number of Employees

Fed. Employer ID(EIN)

State Reg. Number

DUNS Number

Tax Status

Please attach your Tax Exempt Certificate

Institution/Company Headquarters:

Street Address

City

State

Zip/Postal Code

Phone

Fax

Email

Accounts Payable

Address is the same as above

Attn:

Invoice Preference

Preferred Terms

Street Address

City

State

Zip/Postal Code

First Name

Last Name

Phone

Fax

Email

Ship to:

Same as Account Payable address

Type of Address

Institution/ Company Name:

Department

Street Address

Building/Room #

City

State

Zip/Postal Code

First Name

Last Name

Phone Number

Email

Due to Due to regulatory obligations, NEB prohibits shipments to individuals and residential addresses, subject to certain verifiable exceptions.If you are requesting shipment of products to a residential address as indicated above, please use the space below to provide us with an explanation of why, including details regarding how you will use the products in your business:

Please attach or fill in below your Trade and Bank References

Trade Reference 1

Contact Name

Company Name

Email

Website

Phone

Mailing Address (Street, City, State, Zip Code)

Trade Reference 2

Contact Name

Company Name

Email

Website

Phone

Mailing Address (Street, City, State, Zip Code)

Bank Reference

Contact Name

Bank Name

Email

Website

Phone

Mailing Address (Street, City, State, Zip Code)

Disposition or Use of Items by Purchaser

Intended use:

Products will be used by us in the country designated as part of the ship address.Products are intended for resale.

Note: Resale of NEB’s products is strictly prohibited unless NEB explicitly approves such resale in writing.

To assess this request, please provide the following additional details:

Resale within the country designated as part of the ship address.Exported for resale outside the country designated as part of the ship address.

Specify in which customer segment/types(e.g., academia, pharma/biotech, clinical) you plan to resell NEB’s products:

Which products do you plan to sell (all NEB products or a selection)? If a selection, please list:

Specify in which countries you plan to resell NEB’s products:

Attach additional supporting documents:

New England Biolabs Terms & Conditions of Sale

The submission of a New Account Applications acknowledges that your purchase, acceptance, and/or payment of and for NEB’s products is pursuant to NEB’s Terms of Sale at https://www.neb.com/support/terms-of-sale. NEB does not agree to and is not bound by any other terms or conditions, unless those terms and conditions have been expressly agreed to in writing by a duly authorized representative or officer of NEB.

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