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Contact information
First Name : 
Last Name : 
Institution : 
Lab Name : 
BioRad representative : 
City : 
Country : 
 
 
 
position
 
Lab Manager
 
Student
 
Post-Doc
 
Research Assistant
 
Lab Technician
 
Principle Investigator
 
Other
 
 
 
 
What sector do you work in
 
Academic
 
Industry
 
 
 
What is the main purpose of the visit?
 
Seminar
 
Demo
 
Sales call
 
Training
 
Technical support
 
Other
 
 
 
 
What is the main focus of the research?
   
 
 
 
What are the main techniques being used?
 
Western Blot
 
Gel Electrophoresis
 
Mass Spec
 
2-D Gel electrphoresis
 
2-D western blot
 
Immuno Percipitation
 
Other
 

 
 
 
What workflow is the customer interested in?
 
V3 workflow
 
HCP workflow
 
BA workflow
 
None

 
 
 
Is the customer interested in imaging systems? (Select all that apply)?
 
CDMP
 
CD XRS+
 
GelDoc EZ
 
GelDoc XR+
 
GS900/ 800
 
Pharos FX+
 
PMI
 
Other
 

 
 
 
Who are the main competitors (Select all that apply)?
 
Life tech
 
Syngene
 
GE
 
Thermo/Pierce
 
LiCor
 
Vilber
 
UVP
 
Other
 

 
 
 
Other information