Eppendorf Customized Solutions Request Form

With the aid of a checklist you are asked to define some basic specifications of your customized solution. Your specifications will help us to define the next steps to your customized solution in cooperation with you.

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Please explain the application including Consumables used and any additional components (as adapters or electronic modules or software to be integrated)*
 
Quantity?
 
Specific request for timeline, prices, others?
 
(Fields marked with * must be completed)
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