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Registration of Interest - Drop Box Collection Service
Register your interest for a free drop box collection service for
PlasmidsNG
&
MicrobesNG
Services
*
1.
Your Profile
(Required.)
Full Name
*
Institution
Email Address
*
Phone Number
*
2.
Are you an existing
PlasmidsNG
or
MicrobesNG
customer?
(Required.)
Yes
No
*
3.
How many
PlasmidsNG
samples do you anticipate sending a week?
(Required.)
1-5
6-10
11-15
20+
I don't have enough plasmid samples for a weekly collection, but I am interested in a monthly collection service
N/A - I don't want to send plasmids samples I want to send samples for MicrobesNG Services only (Standard, EGS and Metagenomics services)
*
4.
How many
MicrobesNG
samples do you anticipate sending a week?
(Required.)
1-5
6-10
11-15
20+
I don't have enough MicrobesNG samples for a weekly collection, but I am interested in a monthly collection service
N/A - I don't want to send MicrobesNG samples I only want to send samples plasmid samples for PlasmidsNG.
*
5.
Do you have an approved location for the drop box / collection service on your site?
(Required.)
Yes
No
Not yet - but I am willing to support the logistics of getting a drop box collection service in place
6.
Please provide full details for the proposed drop box / collection site if you have them
Stores / Site Contact Name
Institution / Building Name
Address
Address 2
City / Town
State / Province
ZIP / Postal Code
Country
Email Address for Stores / Site Contact
Phone Number for Stores / Site Contact
7.
Do you use any other sequencing services at the moment?
Yes
No
Please tell us more about the services that you are getting from other providers.
8.
If you have any questions or comments about the proposed drop box collection service please let us know.
