Cell Lab Information Request Form

Cell Lab -- Delivering Contextual Biology

Go directly to the Beckman Coulter website, or fill out the form below for more information.

Cell Lab Information Request Form

Part I. Your Information: (ALL fields are required)

First Name:
Last Name:
Title:
Organization:
Department:
Address:
City:
State/Province (required U.S. only):
Zip Code/Postal Code:
Country:
Telephone:
Email:

Part II. (* Indicates a mandatory field)

What type of lab do you work in?*

Academic	Contract Lab
Government	Clinical Research/Translational Testing
Pharmaceutical	Forensic Testing
Biotechnology	Clinical Lab
Private Research	Other, specify

Please select your areas of interest (please choose at least one item among the list below in "Cellular Analysis" and "Molecular Pathology"):*

Cellular Analysis

All ELISA

Apoptosis Detection Flow Cytometry

Bead-based Assays High Content Screening

Cell Communication Immunoassays High Throughput Screening

Cell Count and Sizing Live Cell Collection/Purification

Cell-Based Assays Neurite Outgrowth

Cell Viability Assays Protein Microarrays

Dendritic Cells Subcellular Fractionation

Other:

Molecular Pathology

All Inherited Genetic Disease

Cardiovascular Oncology
Leukemia/Lymphoma
Other

Infectious Disease
HIV
Other

Transplantation
Stem Cells
Leukoreduction
CMV
Other

Other

Please select the types of emails you would like to receive (please choose at least one item among the list below):*

Technical Information	Product Discounts
New Product Announcements	Seminars
All of the above
None

Please indicate all products/services of interest (please select at least one among the check boxes below):

Allergenicity Kit, Cellular Analysis of Allergy
Automated Cell Preparation for Flow Cytometry
	Cell Prep	PrepPlus II
	TQ-Prep	FP 1000
Cellular Analysis Catalog - New
Cell Viability Analyzer
Cell Count & Size Analyzer
Cellular Imaging & Analysis
Centrifuge
	High Performance/Speed	Benchtop
	Ultracentrifuge	Rotor
ELISA Chemistry Kits or Systems
Flow Cytometry Reagents
Flow Cytometry Systems
	EPICS XL MCL	EPICS ALTRA
	FC 500	FC 500 MPL
	Quanta™
High Content, High Throughput Cell Imaging (IC 100)
Immunoassay Kits
Integrated Cytometry Solution
Integrated Liquid Handling and Robotic Workstations
	Biomek® 2000	Biomek 3000
	Biomek NX	Biomek FX
Liquid Handler Labware
Microarray System
Microplate Reader or Washer
Monoclonal Antibodies
Software
	EXPO32	MXP
	CXP	21 CFR Part 11 Compliance
Other (please describe):

Please indicate your purchasing time frame:*

Immediate	7-12 months
4-6 months	over 1 year

Please indicate your inquiry interest:*

Provide a quote	Have a rep contact me
Information Only