GA Custom Reagents

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First name*
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Company/Institution*
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Nature of enquiry?
Custom Formulation
Custom Fill Size
Other

Please explain why a custom product is necessary:

What is the intended application of this product?
Clinical
Research
Resale
Other

Which quality standard is required for this product?
ISO 9001-2008
ISO 13485-2003
GMP
Not sure
Other

Which application is this for?
Mutation detection
Digital PCR
Gene Expression
Genotyping
Other

Catalog SKU and Description (if applicable)

How did you learn about this custom service?
Internet search
Life Technologies search
Colleagues
Sales representatives
Other, please specify
If other, please specify