CAS Registry Services^SM consultation

CAS Registry Services consultation provides substance identity information at a consultation rate. Please review CAS Registration Criteria Overview and Registry Number Info Requirements before submitting your request. Also include a relevant chemical structure diagram and descriptive information.

Note: A unique substance identifier is requested for each substance to facilitate matching the results to your input information. (For example, your internal substance ID, such as tradename, product code, or sequential numbering).

Por favor, envie o e informações descritivas e diagramas de estrutura química relevantes por e-mail para Agilizar o processamento.

CAS Registry Service consultation

If you would like both a CAS Registry Number and CA Index Name, please check the two appropriate boxes below.

CA Index Names (Attach chemical structure diagram below)

Retrieval of existing CAS Registry Numbers

Assignment of new CAS Registry Numbers. I acknowledge and understand that the identities of these substances are non-confidential and will be disclosed publicly. If a CAS Registry Number already exists, it will be retrieved.

Note: If you request assignment of a new CAS Registry number for a substance not already present in the CAS Registry system, that assignment will make your substance publicly available in CAS Registry®. Customer identity information will be kept confidential. If you wish to maintain confidentiality for your Substance's identity, you should request only a CA Index Name or retrieval of an existing CAS Registry number.

Customer requesting information

Is this request for a third-party?YesNo

Family/Last name*

First name*

Organization*

Street address*

Telephone*

Email*

Country*

*State or Province

*City

ZIP/Postal Code*

Add alternate contact? (optional)

Purchase order number

Email invoice to (if different than provided)

Billing contact/address (if not same as above)

A signature below is required before the requested consultation will be performed. This acknowledges acceptance of the CAS Registry Services Terms and Conditions, CAS Information Use Policy, and CAS Privacy Policy.

No other terms or conditions shall apply to this service, including any terms set forth in any Purchase Order submitted by Customer. Acceptance of a Purchase Order by CAS will be for payment purposes only and none of the terms in a Purchase Order will be binding upon CAS. Under no circumstances shall performance of the CAS Registry Services constitute acceptance of any additional or different terms.

As an authorized individual, by typing my name below, I accept the above terms provided in this Order Form.

By checking this box, you acknowledge that you accept the CAS Registry Services Terms and Conditions, CAS Information Use Policy, and CAS Privacy Policy.*

Authorized signature*

Date

Chemical structure diagram or descriptive information

Unique substance identifier (limited to 20 alphanumeric characters, for example trade name, product code or sequential numbering)Provide your chemical structure diagram or descriptive information in a separate attachment. (Accepted formats: .ppt, .pptx, .pdf, .doc, .docx)

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Max file size 10MB.

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