Order Form Name(Required) First Last Email(Required) Phone(Required)Company(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Notes / Billing Address (if different from above)Payment Type(Required) Credit Card Bank Transfer Check Please share with us your intended use for our product. This information will remain confidential and is solely intended to assist us in gaining a broad perspective regarding how our products are being utilized*.(Required)Which Products Do You Want To Order VITRO-SKIN® VITRO-SKIN® STARTER KIT VITRO-CORNEUM® VITRO-NAILS® VITRO-SKIN®VITRO-SKIN® N-19 is an advanced testing substrate that effectively mimics the surface properties of human skin. It contains both optimized protein and lipid components and is designed to have topography, pH, critical surface tension, chemical reactivity and ionic strength similar to human skin. Testing done on VITRO-SKIN is generally more reproducible than that performed on human skin due to the consistent topography and wetting properties across each sheet.VITRO-SKIN Pricing For 22 cm x 27 cm (8.5” x 10.5”) Sheets: Quantity Price/Sheet Total US$ 3 $85 $255 6 $85 $510 10 $80 $800 20 $80 $1,600 50 $75 $3,750 100 $70 $7,000 200 $70 $14,000 VITRO-SKIN N-19Quantity (minimum = 3)Please enter a number greater than or equal to 3.PriceSub-TotalVITRO-SKIN Domestic Shipping (USA Only) FedEx Standard Overnight FedEx 2-Day FedEx Ground VITRO-SKIN STARTER KITA Complete VITRO-SKIN Starter Kit includes two sheets of VITRO-SKIN, the IMS vitro SPF/UVA testing protocol, four 6 cm x 6 cm sample holders, two 35 mm reference holders, one dozen fingers cots, foam resistance block and a plastic hydration chamber with mesh shelves. $200 per KitQuanityPriceSub-TotalSTARTER KIT Domestic Shipping (USA Only)** FedEx Standard Overnight FedEx 2-Day FedEx Ground This field is hidden when viewing the formSection Break**Shipping charges will be added to invoice All International Shipping (Outside USA) For VITRO-SKIN and STARTER KIT International Shipping please e-mail info@ims-usa.com or call 386.313.6118 for shipping costs to your country. All taxes and duties for international shipments are the responsibility of the recipient. (All International shipping is via FedEx.)Our No Hassle, 100% Satisfaction Guarantee: If for any reason you are not completely satisfied with the data you obtain using VITRO-SKIN, simply return the unused substrate within 45 days for an immediate refund or credit.TotalVITRO-CORNEUM®VITRO-CORNEUM® is an advanced testing substrate that effectively mimics the thickness, visco-elasticity, chemical reactivity and surface properties of human stratum corneum. It can be used to demonstrate the hydration and moisturization properties of personal care products and raw materials in vitro. VITRO-CORNEUM provides a new — and experimentally simpler — approach to evaluating the benefits of prototype formulations and new raw materials, without the experimental difficulties of working with and separating human epidermis. VITRO-CORNEUM Pricing - 22 cm x 27 cm (8.5” x 10.5”) Sheets: Quantity Price/Sheet Total US$ 3 $95 $285 6 $90 $540 10 $90 $900 20 $85 $1,700 VITRO-CORNEUMQuanityPriceSub-TotalDomestic Shipping (USA Only) FedEx Standard Overnight FedEx 2-Day FedEx Ground All International Shipping (Outside USA) For VITRO-CORNEUM International Shipping please e-mail info@ims-usa.com or call 386.313.6118 for shipping costs to your country. All taxes and duties for international shipments are the responsibility of the recipient. (All International shipping is via FedEx.)Our No Hassle, 100% Satisfaction Guarantee: If for any reason you are not completely satisfied with the data you obtain using VITRO-CORNEUM, simply return the unused substrate within 45 days for an immediate refund or credit.TotalVITRO-NAILS®VITRO-NAILS® is an advanced testing substrate that effectively mimics the wetting properties, thickness, flexibility and chemical reactivity of human fingernails. The VITRO-NAILS substrate allows rapid evaluation of prototype nail formulations — including spreading, dry time, color, gloss, flexibility, durability and resistance to chipping. VITRO-NAILS Pricing For 20.3 cm x 17.7 cm (8.0” x 7.0”) Sheets (minimum size): Quantity Price/Sheet Total US$ 3 $80 $240 6 $75 $450 10 $74 $740 20 $72 $1,440 IMS VITRO-NAILSQuanityPriceSub-TotalDomestic Shipping (USA Only) Fedex Standard Overnight Fedex 2-Day FedEx Ground All International Shipping (Outside USA) For VITRO-NAILS International Shipping please e-mail info@ims-usa.com or call 386.313.6118 for shipping costs to your country. All taxes and duties for international shipments are the responsibility of the recipient. (All International shipping is via FedEx.)Our No Hassle, 100% Satisfaction Guarantee: If for any reason you are not completely satisfied with the data you obtain using VITRO-NAILS®, simply return the unused substrate within 45 days for an immediate refund or credit.Total