Upgrade your 3100 Genetic Analyzer and get an iPad® device

Upgrade your 3100 Genetic Analyzer and get an iPad® device
Please take a moment to fill out the information below in order to claim your iPad® device.*

If you have any questions, please contact your sequencing sales rep.
First name*
Last name*
Company/Institution*
Telephone*
Email*
Confirm email*
Department
Street address*
Building*
City*
Postal Code/Zip*
Country*

Sale order number:*
Please upload a copy of your order number as a pdf or jpg below:
File:

I represent and warrant that I am not prohibited by law, regulation, contract, or agency/institutional policy from receiving this promotional item from Life Technologies*
*Terms & Conditions: Promotion open to customers in the US and Canada who purchase an upgrade to their 3100 genetic analyzer to a 3130(xl) genetic analyzer or other capillary electrophoresis genetic analyzer sold by Life Technologies in a single purchase order. Qualifying orders must be received by April 30, 2013. The approximate retail value of the iPad device is $500 USD. In order to receive the promotional item, a customer or sequencing sales rep must complete and submit the form with an order confirmation uploaded no later than April 30, 2013, or until promotional supplies are depleted, whichever comes first. Please send any questions regarding this promotion to your sequencing sales representative. Promotional items shipped within 4-6 weeks after submission form is received. Limit one promotional item per qualifying order. By placing the order, you warrant that you are not prohibited by employment, contract, or law from accepting the promotional item from Life Technologies. Cannot be combined with other discounts or promotions. Offer void where prohibited, licensed, or restricted by federal, state, provincial, or local laws or regulation or agency/institutional policy. Other restrictions may apply. Apple is not a participant or sponsor of this promotion.