Bestellformular SERION ELISA classic / antigen - virion\serion
Bestellformular SERION ELISA classic / antigen - virion\serion
Bestellformular SERION ELISA classic / antigen - virion\serion
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<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong>/<strong>antigen</strong><br />
<strong>Bestellformular</strong>/Order Form<br />
Institut Virion\Serion GmbH<br />
Friedrich-Bergius-Ring 19<br />
D-97076 Würzburg, Germany<br />
Phone +49 931 3045 0<br />
Fax +49 931 3045 100<br />
E-Mail: order@virion-serion.de<br />
Internet: www.virion-serion.de<br />
Kundendaten/Client Information<br />
Ansprechpartner/Contact Person:<br />
Kundennr./Client No.:<br />
Name/Name: ______________________________________________________________________<br />
Unternehmen/Company: ____________________________________________________________<br />
Adresse/Address: __________________________________________________________________<br />
Postleitzahl/Postal Code: ___________________________________________________________<br />
Telefon/Phone: ____________________________________________________________________<br />
E-Mail/E-Mail: ____________________________________________________________________<br />
Interne Auftragsnr./Internal No.: ____________________________________________________<br />
Bitte beachten: Bei einem Auftragswert unter 500 € wird ein Mindermengenzuschlag von 12 € berechnet.<br />
Please note: For orders under € 500 there is a surcharge of € 12.<br />
Ich bin interessiert an Informationen über/I am interested in information about:<br />
.....................................................................................................................................................<br />
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Datum/Date: .................................. Unterschrift/Signature: ...................................<br />
Seite/Page 1/5 V7. 13/06-1
<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong>/<strong>antigen</strong><br />
<strong>Bestellformular</strong>/Order Form<br />
Artikel<br />
Product<br />
Bestell-Nr.<br />
Order No.<br />
Menge<br />
Amount<br />
Artikel<br />
Product<br />
Bestell-Nr.<br />
Order No.<br />
Menge<br />
Amount<br />
Adenovirus<br />
IgA ESR 128 A .............<br />
IgG ESR 128 G .............<br />
Aspergillus fumigatus<br />
IgA ESR 132 A .............<br />
IgG ESR 132 G .............<br />
IgM ESR 132 M .............<br />
Bacillus anthracis<br />
IgG ESR 140 G .............<br />
Bordetella pertussis<br />
IgA ESR 120 A .............<br />
IgG ESR 120 G .............<br />
IgM ESR 120 M .............<br />
Bordetella pertussis Toxin<br />
IgA ESR 1201 A .............<br />
IgG ESR 1201 G .............<br />
Borrelia burgdorferi<br />
IgG ESR 121 G .............<br />
IgM ESR 121 M .............<br />
Brucella<br />
IgA ESR 116 A .............<br />
IgG ESR 116 G .............<br />
IgM ESR 116 M .............<br />
Campylobacter jejuni<br />
IgA ESR 139 A .............<br />
IgG ESR 139 G .............<br />
IgM ESR 139 M .............<br />
Candida albicans<br />
IgA ESR 117 A .............<br />
IgG ESR 117 G .............<br />
IgM ESR 117 M .............<br />
Candida <strong>antigen</strong><br />
Candida A 117 .............<br />
Chlamydia<br />
IgA ESR 137 A .............<br />
IgG ESR 137 G .............<br />
Chlamydia pneumoniae<br />
IgA ESR 1371 A .............<br />
IgG ESR 1371 G .............<br />
IgM ESR 1371 M .............<br />
Chlamydia trachomatis<br />
IgA ESR 1372 A .............<br />
IgG ESR 1372 G .............<br />
IgM ESR 1372 M .............<br />
Coxiella burnetii (Phase 1)<br />
IgA (qual.) ESR 1311 A .............<br />
IgG (qual.) ESR 1311 G .............<br />
Coxiella burnetii (Phase 2)<br />
IgG ESR 1312 G .............<br />
IgM (qual.) ESR 1312 M .............<br />
Coxsackievirus<br />
IgA ESR 134 A .............<br />
IgG ESR 134 G .............<br />
IgM ESR 134 M .............<br />
Cytomegalovirus<br />
IgG ESR 109 G .............<br />
IgM ESR 109 M .............<br />
Dengue Virus<br />
IgG ESR 114 G .............<br />
IgM ESR 114 G .............<br />
Diphtherie/Diphtheria<br />
IgG ESR 130 G .............<br />
V7. 13/06-1 Seite/Page 2/5
<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong>/<strong>antigen</strong><br />
<strong>Bestellformular</strong>/Order Form<br />
Artikel<br />
Product<br />
Bestell-Nr.<br />
Order No.<br />
Menge<br />
Amount<br />
Artikel<br />
Product<br />
Bestell-Nr.<br />
Order No.<br />
Menge<br />
Amount<br />
Echinococcus<br />
IgG ESR 107 G .............<br />
Echovirus<br />
IgA ESR 135 A .............<br />
IgG ESR 135 G .............<br />
IgM ESR 135 M .............<br />
Enterovirus<br />
IgA ESR 133 A .............<br />
IgG ESR 133 G .............<br />
IgM ESR 133 M .............<br />
Epstein-Barr Virus/EA<br />
IgG ESR 1363 G .............<br />
Epstein-Barr Virus/EBNA1<br />
IgG ESR 1362 G .............<br />
Epstein-Barr Virus/VCA<br />
IgG ESR 1361 G .............<br />
IgM ESR 1361 M .............<br />
Francisella tularensis<br />
IgG ESR 142 G .............<br />
IgM ESR 142 M .............<br />
FSME/TBE Virus<br />
IgG ESR 112 G .............<br />
IgM ESR 112 M .............<br />
Hantavirus Puumala<br />
IgG ESR 145 G .............<br />
IgM ESR 145 M .............<br />
Helicobacter pylori<br />
IgA ESR 118 A .............<br />
IgG ESR 118 G .............<br />
IgM ESR 118 M .............<br />
Herpes Simplex Virus 1+2<br />
IgA ESR 105 A .............<br />
IgG ESR 105 G .............<br />
IgM ESR 105 M .............<br />
Herpes Simplex Virus 1<br />
IgG ESR 1051 G .............<br />
IgM ESR 1051 M .............<br />
Herpes Simplex Virus 2<br />
IgG ESR 1052 G .............<br />
IgM ESR 1052 M .............<br />
Influenza A Virus<br />
IgA ESR 1231 A .............<br />
IgG ESR 1231 G .............<br />
IgM ESR 1231 M .............<br />
Influenza B Virus<br />
IgA ESR 1232 A .............<br />
IgG ESR 1232 G .............<br />
IgM ESR 1232 M .............<br />
Legionella pneumophila 1-7<br />
IgG ESR 106 G .............<br />
IgM ESR 106 M .............<br />
Leptospira<br />
IgG ESR 125 G .............<br />
IgM ESR 125 M .............<br />
Masern/Measles Virus<br />
IgG ESR 102 G .............<br />
IgM ESR 102 M .............<br />
Mumps/Parotitis Virus<br />
IgG ESR 103 G .............<br />
IgM ESR 103 M .............<br />
Seite/Page 3/5 V7. 13/06-1
<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong>/<strong>antigen</strong><br />
<strong>Bestellformular</strong>/Order Form<br />
Artikel<br />
Product<br />
Bestell-Nr.<br />
Order No.<br />
Menge<br />
Amount<br />
Artikel<br />
Product<br />
Bestell-Nr.<br />
Order No.<br />
Menge<br />
Amount<br />
Mycoplasma pneumoniae<br />
IgA ESR 127 A .............<br />
IgG ESR 127 G .............<br />
IgM ESR 127 M .............<br />
Parainfluenza Virus 1<br />
IgG ESR 1261 G .............<br />
Parainfluenza Virus 2<br />
IgG ESR 1262 G .............<br />
Parainfluenza Virus 3<br />
IgG ESR 1263 G .............<br />
Parainfluenza Virus 1, 2, 3<br />
IgA ESR 126 A .............<br />
Parvovirus B19<br />
IgG ESR 122 G .............<br />
IgM ESR 122 M .............<br />
Respiratory Syncytial Virus<br />
IgA ESR 113 A .............<br />
IgG ESR 113 G .............<br />
Röteln/Rubella Virus<br />
IgG ESR 129 G .............<br />
IgM ESR 129 M .............<br />
Tetanus<br />
IgG ESR 108 G .............<br />
Thyroglobulin<br />
IgG ESR 144 G .............<br />
Thyroperoxidase<br />
IgG ESR 143 G .............<br />
Toxoplasma gondii<br />
IgG ESR 110 G .............<br />
IgM ESR 110 M .............<br />
Varicella-Zoster Virus<br />
IgA ESR 104 A .............<br />
IgG ESR 104 G .............<br />
IgM ESR 104 M .............<br />
West Nile Virus<br />
IgG ESR 141 G .............<br />
IgM ESR 141 M .............<br />
Yersinia<br />
IgA ESR 138 A .............<br />
IgG ESR 138 G .............<br />
IgM ESR 138 M .............<br />
Bestellungen erfolgen gemäß unseren allgemeinen Geschäftsbedingungen.<br />
Orders are according to our standard terms and conditions.<br />
Informationen zu unseren Produkten finden Sie auf unserer Homepage: www.virion-serion.de.<br />
For more information please visit our website: www.virion-serion.com.<br />
V7. 13/06-1 Seite/Page 4/5
<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong>/<strong>antigen</strong><br />
<strong>Bestellformular</strong>/Order Form<br />
Artikel<br />
Product<br />
Bestell-Nr.<br />
Order No.<br />
Menge<br />
Amount<br />
<strong>SERION</strong> Aviditätsreagenzien<br />
<strong>SERION</strong> Avidity Reagents<br />
<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> CMV Aviditätsreagenz B 109 AVID .............<br />
<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> CMV Avidity Reagent<br />
<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> Röteln Virus Aviditätsreagenz B 129 AVID .............<br />
<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> Rubella Virus Avidity Reagent<br />
<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> Toxoplasma gondii Aviditätsreagenz B 110 AVID .............<br />
<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> Toxoplasma gondii Avidity Reagent<br />
<strong>SERION</strong> Rf-Absorbens Z 200 .............<br />
<strong>SERION</strong> Rf-Absorbent<br />
Bestellungen erfolgen gemäß unseren allgemeinen Geschäftsbedingungen.<br />
Orders are according to our standard terms and conditions.<br />
Informationen zu unseren Produkten finden Sie auf unserer Homepage: www.virion-serion.de.<br />
For more information please visit our website: www.virion-serion.com.<br />
Seite/Page 5/5 V7. 13/06-1
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