Allegra® X-12 -- Information Form

Allegra® X-12 Information Request

Please complete the form below to receive information on direct centrifugation of cell culture flasks.

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. Additional Information: (* Indicates a mandatory field)

In what area of sample preparation would you be utilizing the Allegra X-12 Series
Centrifuge?*

Cell culturing/harvesting

Nucleic acid isolation/clean-up

Protein Isolation

Where did you learn about the Allegra X-12 Series Centrifuge?*

American Biotechnology Laboratory	Laboratory Products News
Bioscience Technology	Nature Biotechnology
Biotechnology News International	Referral from a colleague
International Biotechnology Laboratory	www.biocompare.com
Journal of Cell Biology	www.biomedcentral.com
Laboratory Equipment	www.selectscience.net
Laboratory Focus	www.the-scientist.com
Other (please specify):

Send me the Application Bulletin on the Direct Centrifugation of T-25 and T-75 Cell Culture Flasks.

Yes No
Send me the CD Tutorial on direct centrifugation of Cell Culture Flasks.

Yes No

Please indicate all products/services of interest.*

Apoptosis Detection Kit or System

Cell Viability Analyzer

Cellular Imaging and Analysis

Centrifuge

	High Performance/Speed
	Ultracentrifuge
	Benchtop
	Rotor
	Allegra X-12 with cell culture flask adapters and ARIES™ rotor technology

Flow Cytometry System and Reagents

Monoclonal Antibodies (please specify):

Spectrophotometer

Other (please specify):

Please indicate your purchasing time frame.*

Immediate	over 1 year
4-6 months	No purchasing interest at this time
7-12 months

Please indicate your inquiry interest.*

Provide a quote	Information Only
Have a rep contact me