Research Molecule Request Form

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We, based in Asia which is the worldwide center of pharmaceutical manufacturing and can provide research molecules for research purposes. Here is the form for requesting research molecules. Our primary role is biotech research, this service is a gesture and primarily to aid science and research worldwide. The essential legal paperwork is required. We supply our side, and you are requested to upload your paperwork to comply with laws. Other than that, any chemical can be requested and one of our representatives will follow it up. Our lab will identify chemical and purity before delivery for quality control. {html} <form id="emailForm" name="emailForm" method="post" action="emailed.php" > <table width="100%" border="0" align="center" cellpadding="10" cellspacing="10"> <tr> <td>Name from Organization :</td> <td><input name="name" type="text" id="name" style="padding: 10px; width: 400px; font-size: 18px" maxlength="255" required ></td> </tr> <tr> <td>Reply E-mail :</td> <td><input name="email" type="email" id="email" style="padding: 10px; width: 400px; font-size: 18px" maxlength="255" required ></td> </tr> <tr> <td>Molecules Information/Quantity :</td> <td><textarea name="msg" cols="60" rows="10" id="msg" style="padding: 10px; font-size: 18px" required></textarea></td> </tr> <tr> <td><img src="https://imt.cx/captcha.php" /></td> <td><input type="text" name="captcha" value="What is the number?" onfocus="this.value=''" /></td> </tr> <tr> <td style="display: none;"> <input type="text" name="honeypot" value="" /> </td> <td><input name="SubmitBtn" type="submit" id="SubmitBtn" value="Submit"></td> </tr> </table> </form> <script> function validateForm() { var honeypot = document.getElementById("honeypot"); if (honeypot.value !== "") { alert("Please do not fill out the honeypot field."); return false; } return true; } document.getElementById("emailForm").addEventListener("submit", validateForm); </script> {/html} {html}<!-- <form id="emailForm" name="emailForm" method="post" action="emailed.php" > <table width="100%" border="0" align="center" cellpadding="10" cellspacing="10"> <tr> <td>Name from Organization :</td> <td><input name="name" type="text" id="name" style="padding: 10px; width: 400px; font-size: 18px" maxlength="255" required ></td> </tr> <tr> <td>Reply E-mail :</td> <td><input name="email" type="email" id="email" style="padding: 10px; width: 400px; font-size: 18px" maxlength="255" required ></td> </tr> <tr> <td>Molecules Information/Quantity :</td> <td><textarea name="msg" cols="60" rows="10" id="msg" style="padding: 10px; font-size: 18px" required></textarea></td> </tr> <tr> <td><img src="https://imt.cx/captcha.php" /></td> <td><input type="text" name="captcha" value="What is the number?" onfocus="this.value=''" /></td> </tr> <tr> <td><input name="SubmitBtn" type="submit" id="SubmitBtn" value="Submit"></td> </tr> </table> </form>--> {/html}
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