VITRO-SKIN® Online Order Form

(1) Please complete all required* fields below. (2) Select VITRO-SKIN quantity and your desired shipping option. (3) For Credit Card orders, after you order has been reviewed/approved, we will e-mail you a electronic invoice (Intuit Quickbooks), so you can securely complete your credit card payment. (4) For Purchase Orders, please provide your PO# in the form below, and e-mail your completed purchase order to info@ims-usa.com. For International Orders (orders shipping outside the United States) please e-mail info@ims-usa.com or call 386.313.6118 for shipping costs to your location. (5) Invoices paid after 11:00 am Eastern Standard Time will be shipped the next day. (6) Express and international shipping charges will be calculated and added to the invoice.

Name(Required)

Title(Required)

Company(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Payment Type(Required)

Credit Card

Bank Transfer

Check

Notes / Special Instructions / Billing Address (if different from above)

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)

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-19

Quantity (minimum = 3)

Please enter a number greater than or equal to 3.

Price

Sub-Total

VITRO-SKIN STARTER KIT
A 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 Kit

Quantity

Price

Sub-Total

VITRO-SKIN Domestic Shipping (USA Only)

FedEx Standard Overnight

FedEx 2-Day

FedEx Ground

STARTER KIT Domestic Shipping (USA Only)**

FedEx Standard Overnight

FedEx 2-Day

FedEx Ground

**Additional VITRO-SKIN substrate can ship with STARTER KIT at no additional shipping cost.
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.

Total