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First name
*
Last name
*
Email
*
Company Name and Service Needed
*
Example: AlburtyLab Inc- Annual Maintenance
InnovaPrep's Product
*
Please Select
Concentrating Pipette Select (CPS)
Cub ACD-210 (Battery Equipped)
Cub ACD-220 (No Battery)
Bobcat ACD-200
SpinCon 2
SpinCon Redbox
Custom Product
Concentrating Pipette 150 (CP150)
FluidPrep – Easy Elute LVC
FluidPrep – CP Select Consumables
AirPrep - Consumables
Instrument's Serial Number
*
Example: CP0001001
When was the product last used?
Are you the primary user
*
Yes
No
Service Type
Annual Maintenance/ Calibration
Issue/ Repair
Description of Service Request
*
Example: Annual Maintenance for a CP Select.
Description of sample type(s) processed with instrument
*
Example: Raw Wastewater
Description of organisms that have come in contact with the instrument
*
Example: SARS-CoV-2, E. coli O157:H7
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