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Service Form
Array & ELISA
Auto Western
Flow Cytometry
This service form is for all product categories of ELISA and multiplex arrays.
Array and ELISA Service Form
1
Basic Info
2
Service Info
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Sample Info
Contact Name
*
Email Address
*
Phone Number
*
University/Institution Name
*
Submission Date
*
Billing Contact Name
?
Billing Phone Number
?
Payment
*
Credit Card
Purchase Order (PO)
Wire Transfer
Check
Please email the PO to orders@raybiotech.com
Distributor Name
?
Quote Number
*
Catalog Number
*
Number of Samples
*
Do any samples contain viruses?
*
Yes
No
Suggested Dilution
*
Yes
No
Sample Storage
*
Discard samples
Store samples (additional fees may apply)
Send samples back
?
FedEx Account #
?
Additional information
?
Additional File:
Do not upload POs here, email them to orders@raybiotech.com
Upload sample list:
Excel Template Download
Sample Info
#
Sample ID
Sample Type
If plasma, what anti-coagulant was used?
Sample Volume
Suggested Dilution
Protein Concentration
Toxic/Infectious materials?
Indicate sample groups
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