Ordering: Account Setup

If you have not ordered from HumanZyme, Inc. before, please note that we require the following forms to be filled out before we may ship your first order to you. Please Fax or email completed forms to our office at the contact information listed below. If you have any questions about the content of the forms or how to fill them out, please contact us at:

Tel: (312) 738 0127

Fax: (312) 276 8128

orders@humanzyme.com

Account Application Form

When filling out the Account Application form, please note the following:

  • Business Legal Name should be the official business name that appears on taxation forms.
  • Business Description, Credit Limit, and Trade References may be optional. Please contact us at (312) 738-0127 or orders@humanzyme.com for more information.

W-9 Request for Taxpayer Identification Number and Certification

  • When filling out the W-9 Taxpayer Identification Form, please note the following:
    For those ordering under the name of a university, please forward the W-9 Form to the Accounting Department at your university and they will be able to fill it out or direct it to an appropriate department.

Please review our legal information here.