Irvine Scientific logo
Login | View Cart
Home | Technical Resources | News & Events | About Us | Contact Us

> Customer Service

Cytogenetics Sample Request

Please fill out the following form to receive your free media sample. Please be sure to complete all fields so that we may correctly process your request.

Contact Information
E-mail*
First Name*
Last Name*
Title/Dept.*
Job Role*
Director/VP Purchasing
Lab Manager Sales/Marketing
Technician R&D
Quality Student
Other
Company Information
Company*
Attention
Address*
City*
State/Province*
Zip/Postal Code*
Country*
Phone*
Fax
What type of Cell Lines are you currently using?*
(may choose more than one)
AFCs Bloods
CVs Stem Cells
Tissues (POC) Tumors
Bone Marrows Other
Approximately how many milliliters of media do you use per patient sample?*
10 mL 15 mL 20 mL
How many patient samples do you process on an average month? (optional)
Choose free sample:*
Chang Medium® BMC (91004)
Chang Medium® MF (91005)
Chang Medium ® In Situ (T104)
Chang Medium® D (T105)
Chang Medium® Basal & Chang Medium® D (C100 & C106)
Chang Medium® C Lyophilized (T101)
How did you hear about this promotion?*
Received an e-mail
Received a postcard mailer
From my account manager
Other

Offer is available only for select organizations for a limited time or while supplies last. One sample per customer. Please void where prohibited by federal, state, local laws, agency or institution guidelines.
*required
 





Cell Culture | Specialty Media | Reproductive (ART) | Custom Products | Conditions of Sale | Site Map

Copyright © 2013 Irvine Scientific. All rights reserved.

JX Holding logo