MKPK Stabilization Tube Order Form: Get in Touch

Please Complete The Required Sections of This Form.

"*" indicates required fields

ORDER DETAILS

Central Lab Name*

Number of Tubes Required*

Order Contact*

Order Contact Email*

Date Requested*

Date Required*

SHIPPING CONTACT INFORMATION

Recipient Department

Institution / Company

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

IMPORTANT ORDERING NOTES

Orders greater than 10,000 tubes and all expedited orders require Merck Study Team approval prior to manufacture. Please still submit this form and Frontage will coordinate the required approval process.

PRODUCTION TIMELINES

Number of Tubes*	Estimated Timeline to Ship Date
<500	2 weeks
501 – 1,000	3 weeks
1,001 – 5,000	4 weeks
5,001 – 10,000	5 weeks
10,001 – 20,000	6 weeks
20,001 – 30,000	8 weeks
30,001 – 40,000	10 weeks

*Timelines are estimates from order approval to ship date and may vary based on order volume and production scheduling.

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