Let Us Get to Know You

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E-mail Address *

Confirm E-mail Address *

First Name *

Last Name *

Company Name *

Department

Country * 

Address *

City *

State / Province 

Zip/Postal Code

Phone (Please do not include dashes or spaces. Example: 5551231234) 

Phone (If not USA or Canada)

Tell Us About What You Do

Do you manage any aspects of your lab, including staff, services, or equipment? * 

  • Yes
  • No

When it comes to making purchasing decisions within your laboratory/organization, which of the following best describes your role? * 

What type of business are you in? (select one) * 

My primary field of work is? (select one) * 

Which best describes your job title? * 

Technologies I Use in my Lab (Select All that Apply) * 

  • Autoclaves
  • Informatics
  • Automated Liquid Handling
  • Balances
  • Microscopy
  • Baths and Chillers
  • Microplate Technology
  • Mass Spectrometers
  • Biological Safety Cabinets
  • Microwave Technology
  • Centrifuges
  • Mills & Grinders
  • CO2 Incubators
  • Particle Characterization
  • Cold Storage
  • PCR / Thermal Cyclers
  • Electrophoresis
  • Pipettes
  • Evaporators
  • Spectrophotometers
  • Freeze Dryers / Lyophilizers
  • Shakers and Rockers
  • Fume Hoods
  • Stirrers and Mixers
  • GC Systems
  • Titrators
  • Gas Generators
  • TOC analyzers
  • Glassware Washers
  • Vacuum Pumps
  • Homogenizers
  • Viscometers
  • HPLC/UHPLC Systems
  • Water Purification Systems
  • Lab Ovens

Personal Identifier

What month were you born?