Online User License Order Form - BIOBASE Biological Databases

To qualify for this pricing and subscription, please make sure you are affiliated with a non-commercial entity such as a non-profit research institute or hospital, or an academic institution such as a college or university. A single user license is limited to 1 username and accessible from a single IP address/single PC only. A single-concurrent user license allows up to 4 users within the same lab or research group to access from up to 4 different IPs/4 PCs, but only 1 user can be logged in at a given time. If you require additional licenses, please contact us. Please fill out the form completely. For questions or additional support, please contact us.

Institution Name*
Department
Name*
FirstLast
Title
Address*
Street AddressAddress Line 2CityZip / Postal Code
State*
Country*
Region*
*
- Please check off this box if your billing address is different from the address above.
Billing Address
Street AddressCityState / Province / RegionZip / Postal CodeCountry
Email*
Please use a client-based email. Do NOT use web-based emails such as gmail, hotmail, yahoo, etc.
Phone*
Tax ID *
Select which database(s) you would like to purchase:*
- TRANSFAC
- PROTEOME
- HGMD
- Genome Trax
TRANSFAC*
PROTEOME*
HGMD*
Genome Trax*
An IP address is required for each registered user. You may enter a single IP for a single user license and up to 4 valid IP addresses for a single concurrent user license.
What is my IP address? (Enter IP address of your machine shown in red)
IP Address*
IP Address
IP Address
IP Address
Promotion code (if available)
How did you hear about us?
Terms and Conditions*
- This form is for non-commercial users only. I read and agree to this terms and conditions.