Service Request Form

Request form for
licensing and commercial supply service

Please complete this form and submit by email
orders@bioacts.com or by
fax to +82-32-818-8206, and we will send back
the estimate
as soon as possible. For questions,
please contact us at support@bioacts.com.

Contact information

Name
Oranization
Address
Email
Phone/FAX

Checking for previous order(please mark appropriate box)

ORDER TYPE

Licensing and commercial supply service information (please mark appropriate box)

R&D cooperation
Licensing in/out
Product development
cooperation
OEM/ODM
Commercial
partnerships
Other

Comments

Please describe your specifications or precautions. We will proceed as requested.
You can use below space to discuss any special requests you might have.

Comments