PRIME-XV Sample Request Form

As part of the sample evaluation process, and to ensure the best outcome of your sample evaluation, a FUJIFILM Irvine Scientific Technical Application Scientist or Technical Sales Specialist will reach out to you upon the submission of this online request form to discuss recommendations toward the most suitable application in advance of any sample shipment.

Once you have received a sample, we respectfully request all recipients provide results and feedback to our technical support team within 3 months of receiving the sample. Preferably, results should be returned within 30-60 days after you have completed evaluation of the sample. Additionally, samples are limited to two bottles of PRIME-XV media per person.

For logistical reasons, free samples are only available to US and EU customers. Offer available while supplies last. One request per customer. Void where prohibited by federal, state, local laws, agency or institution guidelines. Restrictions may apply.