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corning home > life sciences > Asia Pacific > products + solutions > certificate of compliance >

Request for Certificate of Compliance

Please fill out the information below to receive a Certificate of Compliance on Corning products you have purchased. We will send the certificates to the fax number and attention line you list below. You can enter several catalog numbers and lot numbers on each line. If you have any questions, please contact our Customer Service department at 800-492-1110, or e-mail us at ActonCS@Corning.com.

  
 

YOUR INFORMATION

* Company Name: 

 

Address: 

 

 

 

City: 

 

State: 

 

Zip Code: 

 

Country: 

 

* Fax Number: 

 

* Attention Line: 

 

* Phone Number: 

 

* Corning Catalog Number(s): 

 

* Lot Number(s): 

 

Additional Comments: 

 

* Required Information

     
 

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