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Immunetics Product Registration Form
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Organization
Name
Address
City
State/Province
Zip/Postal code
Country
Phone
FAX
E-mail

Please check all that apply:

Which of the following journals do you read?
pix.gif (45 bytes) Journal of Clinical Microbiology
International Laboratory
Science
Molecular and Cellular Biology
BioTechniques
Nature
Other
Which of the following applications will you be applying to your new Miniblotter?
pix.gif (45 bytes) Spoligotyping
Antibody Blots
Hybridoma Screening
DNA Hybridization
Western Blots
Checkerboard Applications
Other

What is your research focus:


How did you hear about the Miniblotter?

  Sales Contact  
  Web Search  
  Trade Show  
  Fellow Researcher  
  Research Article  
  Trade Publication  
  Other  

Please enter your Miniblotter's serial number 

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Immunetics, Inc.
 27 Drydock Ave, 6th Floor, Boston MA 02210 USA
 Tel: 617.896.9100    Toll-Free: 800.227.4765
 Fax: 617.896.9110    email: info@immunetics.com
 

© Copyright 1997 Immunetics, Inc. All Rights Reserved.
Miniblot, Miniblotter and Immunetics are registered trademarks, and MiniSlot, and QualiCode, are trademarks of Immunetics, Inc.