Please provide the following contact information (Bold information is required):

Title
First name
Last name
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail

Product Request

    Please select which product you would like to purchase. (Some products are limited to U.S. Government only.) A brief description of the CBIAC products is available here.

Payment Method

Check the payment method you will be using. Orders will be filled after receiving payment in full. For security reasons, if you would like to pay by credit card, you will be contacted to obtain your credit card number and the expiration date.

Check/Money order (Make payable to Battelle - U.S. dollars only, please.)

Purchase Order (Purchase Order Number)
Please send hard copy of document to our office. (P.O.'s accepted only from U.S. Government agencies.)

Credit Card   (The CBIAC will contact you directly for your credit card information.)

Thank you.