New Customer Application

Section 1 - Contact Information

Section 2 - Product Use

Description of business or university department:

Provide a brief description of the research planned with List's products:

Products you're interested in: Click HERE to choose products.

Section 3 - Payment Method

For consideration for future purchases of net 30 days terms, please contact us at info@listlabs.com for a credit application form. (All new accounts require payment via credit card or wire transfer in advance.)

* Payment Preference (check one):

The undersigned certifies that the information provided herein is true and correct and that he/she is authorized to make the certification.

* How did you hear about us?

* Required Field