We appreciate your interest in the new E-Gel Go! system. Please complete the following information and answer a few questions for us, so we can better understand your needs.

Contact Information

 
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Mailing Address

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Job Role

 
 CEO / COO / President
 Vice President
 Department Head
 Principal Investigator
 Medical Doctor
 Director
 Post-doctoral fellow
 
 Scientist / Associate Scientist
 Student / Graduate Student
 Research Assistant / Lab Technician
 Lab Manager
 Purchaser / Procurer
 Educator
 
 

I would use this system to run: *

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 1% gels
 2% gels
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 Both 1% and 2% gels

My primary application for using this gel electrophoresis system would be to do a quick check of: *

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 PCR reactions
 Restriction digests
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 Other
 

How many gels do you currently use, on average? *

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 Less than one a week
 1 - 5 per week
 6 - 10 per week
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 11 - 25 per week
 More than 25 per week

What type of gels do you most frequently use today? *

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 I pour my own
 A lab manager/technician pours for the lab
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 I purchase precast gels

I am interested in purchasing a new gel electrophoresis system in: *

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 0 - 1 months
 2 - 4 months
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 5+ months
 No purchase plans
 
 

If you are not the Principle Investigator of your lab, please provide the name of your PI: