Name of User __________________________________ Date ________________
Organization __________________________________ Phone ________________
Address __________________________________ Fax ________________
__________________________________ E-mail ________________
A wire transfer is acceptable only AFTER we have received an original purchase order from your organization and you have been invoiced by Brookhaven. After receiving Brookhaven's invoice, your bank may send a wire transfer to:
Please send all three required items together via postal mail to:Bank name : Chase Manhattan Bank Bank address : 270 Park Ave. New York, NY 10017 USA Account name : Brookhaven Science Associates, LLC Brookhaven National Laboratory Account number : 615-775942
Telephone: (+1-516) 344-5745 Fax: (+1-516) 344-5751 E-mail: orders@pdb.pdb.bnl.govProtein Data Bank Orders Biology Department, Building 463 Brookhaven National Laboratory P.O. Box 5000 Upton, NY 11973-5000
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PDB Help Desk: pdbhelp@bnl.gov.