Early Access Program Intake Form

Early Access Program Intake Form

Full Name*

Organization Name*

Street Address*

City*

State*

Zip code*

Country*

Email Address*

Phone Number*

Phone

Please indicate from the drop down menu, how you intend to use our product platform.*

Select

If you selected "Other" in the question above, please describe how you intend to use our product platform.

Please indicate how many competent cell units you would need per month. Assume 50uL Aliquots/Unit.*

Select whether you prefer Tubes or Plate format for your competent cells.*

Select

Please indicate how much growth media you will require per month in Liters.*

Send me a copy of my responses

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