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.

For Liquid Biopsy Workflow Sample request, please use this link.

* First Name:


* Last Name:


* Email:


* Phone:


Job Title:


What is your area of research?:


* Sample to request:
HighPrep™ PCR
HighPrep™ DTR
MagQuant™ DNA Kit - 50% off list price
HighPrep™ Blood and Tissue DNA Kit
HighPrep™ FFPE DNA Kit
HighPrep™ Plasmid DNA Kit
HighPrep™ Plant DNA Kit
MagCentrate™
Other - List Below

* Purpose of samples:


* How did you hear about us?:
Google
Bing
Yahoo
Colleage
Mail Advertisement
Magazine
Tradeshow
White Paper
Customer
Other

  * Company / Institution:


* Department:


* Street 1:


Street 2:


* City:


* State:


* Zip:


Enter the code in the box below: