Sample Request

Please complete the following questionnaire and perform the trial within the next 4 weeks. We will soon ask for your Feedback.

Contact details

First Name *

Last Name *

Company / Institution *

Job Title

Department

Street Address *

Zip / Postal Code *

City *

Country *

State *

If applicable (USA & Canada)

Phone *

Email *

About requested sample

Transfection reagent currently used? *

Which reagent would you like to test? *

Type of molecule to transfect? *

What is your application? *

Routinely used plate format *

How many plates do you transfect per month? *

Cell(s) to transfect? (starting with the most important): *

Comments:

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