Become a customer

Customer Information

Name

First Last

Company/Institution Name

Contact Email*

Billing Email*

Billing Address

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

Use Billing address as shipping address?

Yes
No

Shipping Address

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

Type of service

We offer Research slide prep, Veterinary diagnostic histopathology and consulting services.

Type of service you are interested in*

Tell us More.....

We offer all types of consulting including but not limited to on site visits, project planning, antibody validation and pathology consultation. Just tell us what you're working on and we will get back to you with a plan and pricing information.

By signing up as a research customer you are under no obligation or contract. An email will be provided to you on how to access our prices as well as how to send in samples.

FedEx account number

This is required ONLY if you choose to use FedEx as a shipper for returning your slides and blocks. Most institutions get large discounts and choose to use FedEx for faster service. If we don't have this number then USPS will automatically be used and billed on your invoice.

Would you like a subscription service or pay as you go account?

We offer unique pricing for veterinarians which can be pay as you go or subscription service to control costs.

Monthly account works as follows:

You will be billed within 24hours of submitting this form at the rate indicated (Half will be refunded if its past the 15th of the month), and each month after on the first of the month.

Once we process your payment you will be sent a kit in the mail to begin submitting samples. The kit will then be sent monthly on the first day of the month.

If you go over your allotted submission amounts you will be billed the overage on the following months' bill at the rate indicated in your plan. To cancel notify us 15 days before your billing cycle. There is no contract simply month to month and you can cancel anytime.

Please Confirm your Subscription

All of the details will be provided to you in an email after submitting this form. You can also view the details in a a new browser window by clicking here

Confirm subscription service*

By selecting "I agree" I understand that I am agreeing to sign up for subscription service and will be charged immediately by Nationwide Histology at the amount I selected and subsequently each month after on the first of the month. I understand I can cancel at any time within 15 days of the end of the billing cycle (end of the month).

I Agree

Subscription Options

Please select what service level you would like.

How did you find us?

Who should we thank?

Total

$0.00

Join our list of satisfied clients!

Customer Information

Type of service

Please Confirm your Subscription

How did you find us?

Leaders in Histopathology!

Why Choose Us

We're Affordable

We're Experienced

We're FAST!

We strive for excellence

Let Our Team Become an Extension of Your Team!