Contact Us Registration

Thank you for your interest in the Life Technologies Reagent Rental Program. A representative will contact you within 5 business days.

Contact Information

 
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Mailing Address

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Job Role

 CEO / COO / President
 Vice President
 Department Head
 Principal Investigator
 Medical Doctor
 Director
 Post-doctoral fellow
 Scientist / Associate Scientist
 Student / Graduate Student
 Research Assistant / Lab Technician
 Lab Manager
 Purchaser / Procurer
 Educator

Which clinical areas are of interest to you? *

 Infectious Diseases
 Inheritable Diseases
 Cancer
 Other
 

If this program meets your needs, when do you intend to initiate the agreement? *

 0 to 6 months
 7 to 12 months
 13+ months
 No Purchase Plans
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 QuantStudio™ Dx Instrument
 7500Fast Dx Instrument
 
 Yes, I wish to receive communication via telephone, email, or other electronic means on the Life Technologies goods and services.