Preanalytic Sample Request

Thank you for your interest in receiving one of our quality sample products.  Please fill in the information below.  Any fields denoted with a * is a required field.

Limit one sample of each per lab.  Valid only for the 48 continental US states.

* First Name:


* Last Name:


* Email:


* Phone:


Job Title:


* What is your area of research?:
Cancer Research
NIPT
Other

* What are you currently using/receiving for sample collection?:
Streck BCT Tubes
PAXgene Blood ccfDNA tubes
EDTA tubes
Other

* If you have an existing collection system, what issues do you have with it?:


* What extraction method/kit are you using?:


* What volume of plasma will you be processing?:
200-400 µL
1-2 mL
3-5 mL

* How are you processing your samples?:
Manually
Liquid handler

Are you having issues with your current cfDNA or ctDNA isolation method? Or other comments:


What is your downstream application?:


* Which product are you interested to sample?:
Blood STASIS 21-ccfDNA tube
cfKapture 21 Kit
HighPrep PCR

* If requesting cfKapture 21 Kit, do you have the right magnetic stand for processing?:
Yes
No
N/A or Don't know

* How did you hear about us?:
Search Engine
Tradeshow
Email Marketing
White Paper
Colleage
Other

  * Company / Institution:


Department:


* Street 1:


* Street 2:


* City:


* State:


* Zip:


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