Account Registration

To set up an account with Intera Oncology please fill out the form below. Once submitted, you will receive your account number and other important ordering information within 24-48 hours.

To see a list of Intera Oncology products sold in the US and Canada, click the button below.

View Products

Create an Account

Bill to:

Account Name

Required *

Account address 1

Account address 2

Department name

City

State / Province

ZIP Code

Email address for electronic invoices

Tax ID

Tax Exempt?

If you are a tax exempt facility or reseller/distributor please upload your Tax Exempt Certificate here:

Accounts Payable Contact:

First Name

Last Name

Title

Phone

Ship to Address (required)

Account Name

Address 1

Address 2

City

State / Province

ZIP Code

Check here if you need to ship to a second address

Purchasing/Supply Chain Contact:

First Name

Last Name

Phone

Regulatory (product notifications):

First Name

Last Name

Phone

If you have any questions, please contact support@interaoncology.com.