Logistics: Request a Kit

LOGISTICS

Request a kit

Required fields ^(*)

Applicant Data

Name and surname of the applicant^(*)

Name of Centre/Laboratory

E-mail ^(*)

Phone number ^(*)

Shipping Data

Shipping Address^(*)

City/Town ^(*)

Zip Code ^(*)

Number of Kit / Samples ^(*)

Test genetico^(*)

Consent to the processing of data
I have read Privacy Policy and I express my consent to the processing of my personal data by Genomica Srl in compliance with the Legislative Decree 30 June 2003, n. 196 and of the GDPR (EU Regulation 2016/679). Devi accettare la privacy

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Websites

Request a kit

Applicant Data

Shipping Data