www.nexcelom.com
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74.208.236.209
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URL:
https://www.nexcelom.com/training-and-support/quote-request
Submission: On November 13 via manual from IN — Scanned from DE
Submission: On November 13 via manual from IN — Scanned from DE
Form analysis 2 forms found in the DOM
GET https://www.nexcelom.com/
<form role="search" class="searchform fusion-search-form fusion-search-form-classic" method="get" action="https://www.nexcelom.com/">
<div class="fusion-search-form-content">
<div class="fusion-search-field search-field">
<label><span class="screen-reader-text">Search for:</span>
<input type="search" value="" name="s" class="s" placeholder="Search..." required="" aria-required="true" aria-label="Search...">
</label>
</div>
<div class="fusion-search-button search-button">
<input type="submit" class="fusion-search-submit searchsubmit" aria-label="Search" value="">
</div>
</div>
</form>POST /training-and-support/quote-request/
<form method="post" enctype="multipart/form-data" id="gform_116" action="/training-and-support/quote-request/" data-formid="116">
<div class="gform-body gform_body">
<ul id="gform_fields_116" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_116_24" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_24">
<div class="ginput_container ginput_container_text"><input name="input_24" id="input_116_24" type="hidden" class="gform_hidden" aria-invalid="false" value="Request Quote"></div>
</li>
<li id="field_116_1" class="gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_1"><label
class="gfield_label gform-field-label" for="input_116_1">First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_116_1" type="text" value="" class="medium" placeholder="Enter your first name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_116_2" class="gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_2"><label
class="gfield_label gform-field-label" for="input_116_2">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_116_2" type="text" value="" class="medium" placeholder="Enter your last name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_116_4" class="gfield gfield--type-phone gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_4"><label
class="gfield_label gform-field-label" for="input_116_4">Phone Number<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_4" id="input_116_4" type="text" value="" class="medium" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_116_5" class="gfield gfield--type-email gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_5"><label
class="gfield_label gform-field-label" for="input_116_5">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_5" id="input_116_5" type="text" value="" class="medium" placeholder="Enter your email address" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_116_17" class="gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_17"><label class="gfield_label gform-field-label"
for="input_116_17">Address</label>
<div class="ginput_container ginput_container_text"><input name="input_17" id="input_116_17" type="text" value="" class="large" aria-invalid="false"> </div>
</li>
<li id="field_116_18" class="gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_18"><label
class="gfield_label gform-field-label" for="input_116_18">City<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_18" id="input_116_18" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_116_20" class="gfield gfield--type-select gf_third_quarter has-input-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_20"><label
class="gfield_label gform-field-label" for="input_116_20">State or Province<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_20" id="input_116_20" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Please choose</option>
<option value="Non USA">Non USA</option>
<option value="AL">AL</option>
<option value="AK">AK</option>
<option value="AZ">AZ</option>
<option value="AR">AR</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DE">DE</option>
<option value="DC">DC</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="IA">IA</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="ME">ME</option>
<option value="MD">MD</option>
<option value="MA">MA</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MS">MS</option>
<option value="MO">MO</option>
<option value="MT">MT</option>
<option value="NE">NE</option>
<option value="NV">NV</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NY">NY</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VT">VT</option>
<option value="VA">VA</option>
<option value="WA">WA</option>
<option value="WV">WV</option>
<option value="WI">WI</option>
<option value="WY">WY</option>
</select></div>
</li>
<li id="field_116_21" class="gfield gfield--type-text gf_fourth_quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_21"><label class="gfield_label gform-field-label"
for="input_116_21">Province</label>
<div class="ginput_container ginput_container_text"><input name="input_21" id="input_116_21" type="text" value="" class="medium" aria-invalid="false"> </div>
</li>
<li id="field_116_22" class="gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_22"><label
class="gfield_label gform-field-label" for="input_116_22">Zip/Postal Code<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_22" id="input_116_22" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_116_54" class="gfield gfield--type-select gf_right_half has-input-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_54"><label
class="gfield_label gform-field-label" for="input_116_54">Country<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_54" id="input_116_54" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Please choose</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos Islands">Cocos Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
<option value="Congo, Republic of the">Congo, Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Eswatini (Swaziland)">Eswatini (Swaziland)</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard and McDonald Islands">Heard and McDonald Islands</option>
<option value="Holy See">Holy See</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="North Korea">North Korea</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine, State of">Palestine, State of</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Réunion">Réunion</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten">Sint Maarten</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia">South Georgia</option>
<option value="South Korea">South Korea</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="US Minor Outlying Islands">US Minor Outlying Islands</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
<option value="Åland Islands">Åland Islands</option>
</select></div>
</li>
<li id="field_116_50" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_50">
<h2 class="gsection_title fusion-responsive-typography-calculated" data-fontsize="26" style="--fontSize: 26; line-height: 1.3;" data-lineheight="33.8px"></h2>
</li>
<li id="field_116_3" class="gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_3"><label
class="gfield_label gform-field-label" for="input_116_3">Institution<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_3" id="input_116_3" type="text" value="" class="medium" placeholder="Enter the name of your institution" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_116_33" class="gfield gfield--type-select gf_right_half has-input-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_33"><label
class="gfield_label gform-field-label" for="input_116_33">Job Role<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_33" id="input_116_33" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Please choose</option>
<option value="Department Head">Department Head</option>
<option value="Director">Director</option>
<option value="Educator">Educator</option>
<option value="Postdoctoral Fellow">Postdoctoral Fellow</option>
<option value="Principal Investigator">Principal Investigator</option>
<option value="Research Assistant / Lab Technician">Research Assistant / Lab Technician</option>
<option value="Scientist/Associate Scientist">Scientist/Associate Scientist</option>
<option value="Student/Graduate Student">Student/Graduate Student</option>
<option value="Other">Other</option>
</select></div>
</li>
<li id="field_116_34" class="gfield gfield--type-select gf_left_half has-input-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_34"><label
class="gfield_label gform-field-label" for="input_116_34">What industry are you in?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_34" id="input_116_34" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Please choose</option>
<option value="Academic">Academic</option>
<option value="Biopharma & Biotech">Biopharma & Biotech</option>
<option value="CRO / CMO">CRO / CMO</option>
<option value="Distributors / Agencies">Distributors / Agencies</option>
<option value="Other">Other</option>
</select></div>
</li>
<li id="field_116_7" class="gfield gfield--type-select gf_right_half has-input-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_7"><label
class="gfield_label gform-field-label" for="input_116_7">How did you hear about us?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_7" id="input_116_7" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Please choose</option>
<option value="Web Search">Web Search</option>
<option value="I am a current user">I am a current user</option>
<option value="I have used product before">I have used product before</option>
<option value="Tradeshow or Conference">Tradeshow or Conference</option>
<option value="Salesperson">Salesperson</option>
<option value="Referred by Colleague">Referred by Colleague</option>
<option value="Advertisement or Flyer">Advertisement or Flyer</option>
<option value="E-mail Announcement">E-mail Announcement</option>
<option value="Other">Other</option>
</select></div>
</li>
<li id="field_116_51" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_51">
<h2 class="gsection_title fusion-responsive-typography-calculated" data-fontsize="26" style="--fontSize: 26; line-height: 1.3;" data-lineheight="33.8px"></h2>
</li>
<li id="field_116_9" class="gfield gfield--type-checkbox gfield--type-choice gf_left_half has-input-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible"
data-js-reload="field_116_9"><label class="gfield_label gform-field-label gfield_label_before_complex">Product(s) of Interest<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_116_9">Select all that apply</div>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_116_9">
<li class="gchoice gchoice_116_9_1">
<input class="gfield-choice-input" name="input_9.1" type="checkbox" value="Interested in Instruments." id="choice_116_9_1" aria-describedby="gfield_description_116_9">
<label for="choice_116_9_1" id="label_116_9_1" class="gform-field-label gform-field-label--type-inline">Instruments</label>
</li>
<li class="gchoice gchoice_116_9_2">
<input class="gfield-choice-input" name="input_9.2" type="checkbox" value="Interested in Counting Chambers." id="choice_116_9_2">
<label for="choice_116_9_2" id="label_116_9_2" class="gform-field-label gform-field-label--type-inline">Counting Chambers</label>
</li>
<li class="gchoice gchoice_116_9_3">
<input class="gfield-choice-input" name="input_9.3" type="checkbox" value="Interested in Assay Kits." id="choice_116_9_3">
<label for="choice_116_9_3" id="label_116_9_3" class="gform-field-label gform-field-label--type-inline">Assay Kits</label>
</li>
<li class="gchoice gchoice_116_9_4">
<input class="gfield-choice-input" name="input_9.4" type="checkbox" value="Interested in Viability Reagents." id="choice_116_9_4">
<label for="choice_116_9_4" id="label_116_9_4" class="gform-field-label gform-field-label--type-inline">Viability Reagents</label>
</li>
<li class="gchoice gchoice_116_9_5">
<input class="gfield-choice-input" name="input_9.5" type="checkbox" value="Interested in Related Products." id="choice_116_9_5">
<label for="choice_116_9_5" id="label_116_9_5" class="gform-field-label gform-field-label--type-inline">Related Products</label>
</li>
<li class="gchoice gchoice_116_9_6">
<input class="gfield-choice-input" name="input_9.6" type="checkbox" value="Interested in Other Products." id="choice_116_9_6">
<label for="choice_116_9_6" id="label_116_9_6" class="gform-field-label gform-field-label--type-inline">Other</label>
</li>
</ul>
</div>
</li>
<li id="field_116_14" class="gfield gfield--type-checkbox gfield--type-choice gf_right_half has-input-name field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_14"><label
class="gfield_label gform-field-label gfield_label_before_complex">I would also like to schedule</label>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_116_14">
<li class="gchoice gchoice_116_14_1">
<input class="gfield-choice-input" name="input_14.1" type="checkbox" value="Schedule an On-site demonstration." id="choice_116_14_1">
<label for="choice_116_14_1" id="label_116_14_1" class="gform-field-label gform-field-label--type-inline">On-site demonstration</label>
</li>
<li class="gchoice gchoice_116_14_2">
<input class="gfield-choice-input" name="input_14.2" type="checkbox" value="Schedule a Technical seminar." id="choice_116_14_2">
<label for="choice_116_14_2" id="label_116_14_2" class="gform-field-label gform-field-label--type-inline">Technical seminar</label>
</li>
<li class="gchoice gchoice_116_14_3">
<input class="gfield-choice-input" name="input_14.3" type="checkbox" value="Schedule a Webinar." id="choice_116_14_3">
<label for="choice_116_14_3" id="label_116_14_3" class="gform-field-label gform-field-label--type-inline">Webinar</label>
</li>
</ul>
</div>
</li>
<li id="field_116_26" class="gfield gfield--type-checkbox gfield--type-choice has-input-name field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_26"><label
class="gfield_label gform-field-label gfield_label_before_complex">Please select at least 1 instrument of interest</label>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_116_26">
<li class="gchoice gchoice_116_26_1">
<input class="gfield-choice-input" name="input_26.1" type="checkbox" value="Specifically Mini." id="choice_116_26_1">
<label for="choice_116_26_1" id="label_116_26_1" class="gform-field-label gform-field-label--type-inline">Mini</label>
</li>
<li class="gchoice gchoice_116_26_2">
<input class="gfield-choice-input" name="input_26.2" type="checkbox" value="Specifically Auto T4." id="choice_116_26_2">
<label for="choice_116_26_2" id="label_116_26_2" class="gform-field-label gform-field-label--type-inline">Auto T4</label>
</li>
<li class="gchoice gchoice_116_26_3">
<input class="gfield-choice-input" name="input_26.3" type="checkbox" value="Specifically Auto 2000." id="choice_116_26_3">
<label for="choice_116_26_3" id="label_116_26_3" class="gform-field-label gform-field-label--type-inline">Auto 2000</label>
</li>
<li class="gchoice gchoice_116_26_4">
<input class="gfield-choice-input" name="input_26.4" type="checkbox" value="Specifically X1 / X2." id="choice_116_26_4">
<label for="choice_116_26_4" id="label_116_26_4" class="gform-field-label gform-field-label--type-inline">X1 / X2</label>
</li>
<li class="gchoice gchoice_116_26_5">
<input class="gfield-choice-input" name="input_26.5" type="checkbox" value="Specifically K2." id="choice_116_26_5">
<label for="choice_116_26_5" id="label_116_26_5" class="gform-field-label gform-field-label--type-inline">K2</label>
</li>
<li class="gchoice gchoice_116_26_6">
<input class="gfield-choice-input" name="input_26.6" type="checkbox" value="Specifically Spectrum." id="choice_116_26_6">
<label for="choice_116_26_6" id="label_116_26_6" class="gform-field-label gform-field-label--type-inline">Spectrum</label>
</li>
<li class="gchoice gchoice_116_26_7">
<input class="gfield-choice-input" name="input_26.7" type="checkbox" value="Specifically Cellaca MX." id="choice_116_26_7">
<label for="choice_116_26_7" id="label_116_26_7" class="gform-field-label gform-field-label--type-inline">Cellaca MX</label>
</li>
<li class="gchoice gchoice_116_26_8">
<input class="gfield-choice-input" name="input_26.8" type="checkbox" value="Specifically Cellaca PLX." id="choice_116_26_8">
<label for="choice_116_26_8" id="label_116_26_8" class="gform-field-label gform-field-label--type-inline">Cellaca PLX</label>
</li>
<li class="gchoice gchoice_116_26_9">
<input class="gfield-choice-input" name="input_26.9" type="checkbox" value="Specifically Celigo." id="choice_116_26_9">
<label for="choice_116_26_9" id="label_116_26_9" class="gform-field-label gform-field-label--type-inline">Celigo</label>
</li>
</ul>
</div>
</li>
<li id="field_116_55" class="gfield gfield--type-checkbox gfield--type-choice gfield--width-full has-input-name field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_55"><label
class="gfield_label gform-field-label gfield_label_before_complex">Please select the related product(s) of interest</label>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_116_55">
<li class="gchoice gchoice_116_55_1">
<input class="gfield-choice-input" name="input_55.1" type="checkbox" value="Specifically Signals Image Artist platform." id="choice_116_55_1">
<label for="choice_116_55_1" id="label_116_55_1" class="gform-field-label gform-field-label--type-inline">Signals Image Artist platform</label>
</li>
</ul>
</div>
</li>
<li id="field_116_12" class="gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_12"><label class="gfield_label gform-field-label"
for="input_116_12">If other, please specify</label>
<div class="ginput_container ginput_container_text"><input name="input_12" id="input_116_12" type="text" value="" class="medium" aria-invalid="false"> </div>
</li>
<li id="field_116_52" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_116_52">
<h2 class="gsection_title fusion-responsive-typography-calculated" data-fontsize="26" style="--fontSize: 26; line-height: 1.3;" data-lineheight="33.8px"></h2>
</li>
<li id="field_116_37" class="gfield gfield--type-checkbox gfield--type-choice gf_list_2col gf_left_half has-input-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible"
data-js-reload="field_116_37"><label class="gfield_label gform-field-label gfield_label_before_complex">Techniques<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_116_37">Select all that apply</div>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_116_37">
<li class="gchoice gchoice_116_37_1">
<input class="gfield-choice-input" name="input_37.1" type="checkbox" value="Bright Field Cell Counting" id="choice_116_37_1" aria-describedby="gfield_description_116_37">
<label for="choice_116_37_1" id="label_116_37_1" class="gform-field-label gform-field-label--type-inline">Bright Field Cell Counting</label>
</li>
<li class="gchoice gchoice_116_37_2">
<input class="gfield-choice-input" name="input_37.2" type="checkbox" value="Cell Based Assays" id="choice_116_37_2">
<label for="choice_116_37_2" id="label_116_37_2" class="gform-field-label gform-field-label--type-inline">Cell Based Assays</label>
</li>
<li class="gchoice gchoice_116_37_3">
<input class="gfield-choice-input" name="input_37.3" type="checkbox" value="Cell/Tissue Culture" id="choice_116_37_3">
<label for="choice_116_37_3" id="label_116_37_3" class="gform-field-label gform-field-label--type-inline">Cell/Tissue Culture</label>
</li>
<li class="gchoice gchoice_116_37_4">
<input class="gfield-choice-input" name="input_37.4" type="checkbox" value="Flow Cytometry" id="choice_116_37_4">
<label for="choice_116_37_4" id="label_116_37_4" class="gform-field-label gform-field-label--type-inline">Flow Cytometry</label>
</li>
<li class="gchoice gchoice_116_37_5">
<input class="gfield-choice-input" name="input_37.5" type="checkbox" value="Fluorescent Cell Counting" id="choice_116_37_5">
<label for="choice_116_37_5" id="label_116_37_5" class="gform-field-label gform-field-label--type-inline">Fluorescent Cell Counting</label>
</li>
<li class="gchoice gchoice_116_37_6">
<input class="gfield-choice-input" name="input_37.6" type="checkbox" value="High Content Analysis" id="choice_116_37_6">
<label for="choice_116_37_6" id="label_116_37_6" class="gform-field-label gform-field-label--type-inline">High Content Analysis</label>
</li>
<li class="gchoice gchoice_116_37_7">
<input class="gfield-choice-input" name="input_37.7" type="checkbox" value="High-throughput Cell Counting" id="choice_116_37_7">
<label for="choice_116_37_7" id="label_116_37_7" class="gform-field-label gform-field-label--type-inline">High-throughput Cell Counting</label>
</li>
<li class="gchoice gchoice_116_37_8">
<input class="gfield-choice-input" name="input_37.8" type="checkbox" value="Image Cytometry" id="choice_116_37_8">
<label for="choice_116_37_8" id="label_116_37_8" class="gform-field-label gform-field-label--type-inline">Image Cytometry</label>
</li>
<li class="gchoice gchoice_116_37_9">
<input class="gfield-choice-input" name="input_37.9" type="checkbox" value="Imaging & Microscopy" id="choice_116_37_9">
<label for="choice_116_37_9" id="label_116_37_9" class="gform-field-label gform-field-label--type-inline">Imaging & Microscopy</label>
</li>
<li class="gchoice gchoice_116_37_11">
<input class="gfield-choice-input" name="input_37.11" type="checkbox" value="Next Gen Sequencing" id="choice_116_37_11">
<label for="choice_116_37_11" id="label_116_37_11" class="gform-field-label gform-field-label--type-inline">Next Gen Sequencing</label>
</li>
</ul>
</div>
</li>
<li id="field_116_35" class="gfield gfield--type-select gf_right_half has-input-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible" data-js-reload="field_116_35"><label
class="gfield_label gform-field-label" for="input_116_35">Research Area<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_116_35">Which best describes your area of research?</div>
<div class="ginput_container ginput_container_select"><select name="input_35" id="input_116_35" class="medium gfield_select" aria-describedby="gfield_description_116_35" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Please choose</option>
<option value="Antibody Discovery">Antibody Discovery</option>
<option value="Bioprocessing / Cell Line Development">Bioprocessing / Cell Line Development</option>
<option value="Brewery / Bakery / Biofuel">Brewery / Bakery / Biofuel</option>
<option value="CAR T / Cell Therapy">CAR T / Cell Therapy</option>
<option value="Drug Discovery">Drug Discovery</option>
<option value="Immuno-Oncology">Immuno-Oncology</option>
<option value="Immunology">Immunology</option>
<option value="Microbiology">Microbiology</option>
<option value="Oncology / Tumor Microenvironment">Oncology / Tumor Microenvironment</option>
<option value="Stem Cell/Regenerative Medicine">Stem Cell/Regenerative Medicine</option>
<option value="Virology">Virology</option>
</select></div>
</li>
<li id="field_116_38" class="gfield gfield--type-checkbox gfield--type-choice gf_list_3col has-input-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible"
data-js-reload="field_116_38"><label class="gfield_label gform-field-label gfield_label_before_complex">Relevant Application(s)<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_116_38">Check all that apply</div>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_116_38">
<li class="gchoice gchoice_116_38_1">
<input class="gfield-choice-input" name="input_38.1" type="checkbox" value="3D Models / Patient Derived Organoids" id="choice_116_38_1" aria-describedby="gfield_description_116_38">
<label for="choice_116_38_1" id="label_116_38_1" class="gform-field-label gform-field-label--type-inline">3D Models / Patient Derived Organoids</label>
</li>
<li class="gchoice gchoice_116_38_2">
<input class="gfield-choice-input" name="input_38.2" type="checkbox" value="Apoptosis" id="choice_116_38_2">
<label for="choice_116_38_2" id="label_116_38_2" class="gform-field-label gform-field-label--type-inline">Apoptosis</label>
</li>
<li class="gchoice gchoice_116_38_3">
<input class="gfield-choice-input" name="input_38.3" type="checkbox" value="Cell Cycle" id="choice_116_38_3">
<label for="choice_116_38_3" id="label_116_38_3" class="gform-field-label gform-field-label--type-inline">Cell Cycle</label>
</li>
<li class="gchoice gchoice_116_38_4">
<input class="gfield-choice-input" name="input_38.4" type="checkbox" value="Cell Proliferation" id="choice_116_38_4">
<label for="choice_116_38_4" id="label_116_38_4" class="gform-field-label gform-field-label--type-inline">Cell Proliferation</label>
</li>
<li class="gchoice gchoice_116_38_5">
<input class="gfield-choice-input" name="input_38.5" type="checkbox" value="Cell to Cell Interaction" id="choice_116_38_5">
<label for="choice_116_38_5" id="label_116_38_5" class="gform-field-label gform-field-label--type-inline">Cell to Cell Interaction</label>
</li>
<li class="gchoice gchoice_116_38_6">
<input class="gfield-choice-input" name="input_38.6" type="checkbox" value="Cell Viability" id="choice_116_38_6">
<label for="choice_116_38_6" id="label_116_38_6" class="gform-field-label gform-field-label--type-inline">Cell Viability</label>
</li>
<li class="gchoice gchoice_116_38_7">
<input class="gfield-choice-input" name="input_38.7" type="checkbox" value="Co-Cultures" id="choice_116_38_7">
<label for="choice_116_38_7" id="label_116_38_7" class="gform-field-label gform-field-label--type-inline">Co-Cultures</label>
</li>
<li class="gchoice gchoice_116_38_8">
<input class="gfield-choice-input" name="input_38.8" type="checkbox" value="Cytotoxicity" id="choice_116_38_8">
<label for="choice_116_38_8" id="label_116_38_8" class="gform-field-label gform-field-label--type-inline">Cytotoxicity</label>
</li>
<li class="gchoice gchoice_116_38_9">
<input class="gfield-choice-input" name="input_38.9" type="checkbox" value="Immunofluorescence" id="choice_116_38_9">
<label for="choice_116_38_9" id="label_116_38_9" class="gform-field-label gform-field-label--type-inline">Immunofluorescence</label>
</li>
<li class="gchoice gchoice_116_38_11">
<input class="gfield-choice-input" name="input_38.11" type="checkbox" value="Migration / Invasion" id="choice_116_38_11">
<label for="choice_116_38_11" id="label_116_38_11" class="gform-field-label gform-field-label--type-inline">Migration / Invasion</label>
</li>
<li class="gchoice gchoice_116_38_12">
<input class="gfield-choice-input" name="input_38.12" type="checkbox" value="Primary Cell Counting / Viability" id="choice_116_38_12">
<label for="choice_116_38_12" id="label_116_38_12" class="gform-field-label gform-field-label--type-inline">Primary Cell Counting / Viability</label>
</li>
<li class="gchoice gchoice_116_38_13">
<input class="gfield-choice-input" name="input_38.13" type="checkbox" value="Transduction/Transfection" id="choice_116_38_13">
<label for="choice_116_38_13" id="label_116_38_13" class="gform-field-label gform-field-label--type-inline">Transduction/Transfection</label>
</li>
</ul>
</div>
</li>
<li id="field_116_39" class="gfield gfield--type-checkbox gfield--type-choice gf_list_3col has-input-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible"
data-js-reload="field_116_39"><label class="gfield_label gform-field-label gfield_label_before_complex">Relevant Application(s)<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_116_39">Check all that apply</div>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_116_39">
<li class="gchoice gchoice_116_39_1">
<input class="gfield-choice-input" name="input_39.1" type="checkbox" value="3D Models / Patient Derived Organoids" id="choice_116_39_1" aria-describedby="gfield_description_116_39">
<label for="choice_116_39_1" id="label_116_39_1" class="gform-field-label gform-field-label--type-inline">3D Models / Patient Derived Organoids</label>
</li>
<li class="gchoice gchoice_116_39_2">
<input class="gfield-choice-input" name="input_39.2" type="checkbox" value="Antibody Characterization" id="choice_116_39_2">
<label for="choice_116_39_2" id="label_116_39_2" class="gform-field-label gform-field-label--type-inline">Antibody Characterization</label>
</li>
<li class="gchoice gchoice_116_39_3">
<input class="gfield-choice-input" name="input_39.3" type="checkbox" value="Antibody Development" id="choice_116_39_3">
<label for="choice_116_39_3" id="label_116_39_3" class="gform-field-label gform-field-label--type-inline">Antibody Development</label>
</li>
<li class="gchoice gchoice_116_39_4">
<input class="gfield-choice-input" name="input_39.4" type="checkbox" value="Cell to Cell Interaction" id="choice_116_39_4">
<label for="choice_116_39_4" id="label_116_39_4" class="gform-field-label gform-field-label--type-inline">Cell to Cell Interaction</label>
</li>
<li class="gchoice gchoice_116_39_5">
<input class="gfield-choice-input" name="input_39.5" type="checkbox" value="Co-Cultures" id="choice_116_39_5">
<label for="choice_116_39_5" id="label_116_39_5" class="gform-field-label gform-field-label--type-inline">Co-Cultures</label>
</li>
<li class="gchoice gchoice_116_39_6">
<input class="gfield-choice-input" name="input_39.6" type="checkbox" value="Immune Cell Killing / Clustering" id="choice_116_39_6">
<label for="choice_116_39_6" id="label_116_39_6" class="gform-field-label gform-field-label--type-inline">Immune Cell Killing / Clustering</label>
</li>
<li class="gchoice gchoice_116_39_7">
<input class="gfield-choice-input" name="input_39.7" type="checkbox" value="Immunofluorescence" id="choice_116_39_7">
<label for="choice_116_39_7" id="label_116_39_7" class="gform-field-label gform-field-label--type-inline">Immunofluorescence</label>
</li>
<li class="gchoice gchoice_116_39_8">
<input class="gfield-choice-input" name="input_39.8" type="checkbox" value="Internalization / Phagocytosis" id="choice_116_39_8">
<label for="choice_116_39_8" id="label_116_39_8" class="gform-field-label gform-field-label--type-inline">Internalization / Phagocytosis</label>
</li>
<li class="gchoice gchoice_116_39_9">
<input class="gfield-choice-input" name="input_39.9" type="checkbox" value="PBMC" id="choice_116_39_9">
<label for="choice_116_39_9" id="label_116_39_9" class="gform-field-label gform-field-label--type-inline">PBMC</label>
</li>
<li class="gchoice gchoice_116_39_11">
<input class="gfield-choice-input" name="input_39.11" type="checkbox" value="Primary Cell Counting / Viability" id="choice_116_39_11">
<label for="choice_116_39_11" id="label_116_39_11" class="gform-field-label gform-field-label--type-inline">Primary Cell Counting / Viability</label>
</li>
<li class="gchoice gchoice_116_39_12">
<input class="gfield-choice-input" name="input_39.12" type="checkbox" value="T Cell Proliferation / Activation" id="choice_116_39_12">
<label for="choice_116_39_12" id="label_116_39_12" class="gform-field-label gform-field-label--type-inline">T Cell Proliferation / Activation</label>
</li>
<li class="gchoice gchoice_116_39_13">
<input class="gfield-choice-input" name="input_39.13" type="checkbox" value="Transduction / Transfection" id="choice_116_39_13">
<label for="choice_116_39_13" id="label_116_39_13" class="gform-field-label gform-field-label--type-inline">Transduction / Transfection</label>
</li>
</ul>
</div>
</li>
<li id="field_116_40" class="gfield gfield--type-checkbox gfield--type-choice gf_list_3col has-input-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible"
data-js-reload="field_116_40"><label class="gfield_label gform-field-label gfield_label_before_complex">Relevant Application(s)<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_116_40">Check all that apply</div>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_116_40">
<li class="gchoice gchoice_116_40_1">
<input class="gfield-choice-input" name="input_40.1" type="checkbox" value="3D Models / Patient Derived Organoids" id="choice_116_40_1" aria-describedby="gfield_description_116_40">
<label for="choice_116_40_1" id="label_116_40_1" class="gform-field-label gform-field-label--type-inline">3D Models / Patient Derived Organoids</label>
</li>
<li class="gchoice gchoice_116_40_2">
<input class="gfield-choice-input" name="input_40.2" type="checkbox" value="Cell to Cell Interaction" id="choice_116_40_2">
<label for="choice_116_40_2" id="label_116_40_2" class="gform-field-label gform-field-label--type-inline">Cell to Cell Interaction</label>
</li>
<li class="gchoice gchoice_116_40_3">
<input class="gfield-choice-input" name="input_40.3" type="checkbox" value="Co-Cultures" id="choice_116_40_3">
<label for="choice_116_40_3" id="label_116_40_3" class="gform-field-label gform-field-label--type-inline">Co-Cultures</label>
</li>
<li class="gchoice gchoice_116_40_4">
<input class="gfield-choice-input" name="input_40.4" type="checkbox" value="Immune Cell Killing / Clustering" id="choice_116_40_4">
<label for="choice_116_40_4" id="label_116_40_4" class="gform-field-label gform-field-label--type-inline">Immune Cell Killing / Clustering</label>
</li>
<li class="gchoice gchoice_116_40_5">
<input class="gfield-choice-input" name="input_40.5" type="checkbox" value="Immunofluorescence" id="choice_116_40_5">
<label for="choice_116_40_5" id="label_116_40_5" class="gform-field-label gform-field-label--type-inline">Immunofluorescence</label>
</li>
<li class="gchoice gchoice_116_40_6">
<input class="gfield-choice-input" name="input_40.6" type="checkbox" value="Immunophenotyping" id="choice_116_40_6">
<label for="choice_116_40_6" id="label_116_40_6" class="gform-field-label gform-field-label--type-inline">Immunophenotyping</label>
</li>
<li class="gchoice gchoice_116_40_7">
<input class="gfield-choice-input" name="input_40.7" type="checkbox" value="PBMC" id="choice_116_40_7">
<label for="choice_116_40_7" id="label_116_40_7" class="gform-field-label gform-field-label--type-inline">PBMC</label>
</li>
<li class="gchoice gchoice_116_40_8">
<input class="gfield-choice-input" name="input_40.8" type="checkbox" value="Primary Cell Counting / Viability" id="choice_116_40_8">
<label for="choice_116_40_8" id="label_116_40_8" class="gform-field-label gform-field-label--type-inline">Primary Cell Counting / Viability</label>
</li>
<li class="gchoice gchoice_116_40_9">
<input class="gfield-choice-input" name="input_40.9" type="checkbox" value="T Cell Proliferation / Activation" id="choice_116_40_9">
<label for="choice_116_40_9" id="label_116_40_9" class="gform-field-label gform-field-label--type-inline">T Cell Proliferation / Activation</label>
</li>
<li class="gchoice gchoice_116_40_11">
<input class="gfield-choice-input" name="input_40.11" type="checkbox" value="Transduction / Transfection" id="choice_116_40_11">
<label for="choice_116_40_11" id="label_116_40_11" class="gform-field-label gform-field-label--type-inline">Transduction / Transfection</label>
</li>
</ul>
</div>
</li>
<li id="field_116_41" class="gfield gfield--type-checkbox gfield--type-choice gf_list_3col has-input-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible"
data-js-reload="field_116_41"><label class="gfield_label gform-field-label gfield_label_before_complex">Relevant Application(s)<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_116_41">Check all that apply</div>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_116_41">
<li class="gchoice gchoice_116_41_1">
<input class="gfield-choice-input" name="input_41.1" type="checkbox" value="Antibody Binding" id="choice_116_41_1" aria-describedby="gfield_description_116_41">
<label for="choice_116_41_1" id="label_116_41_1" class="gform-field-label gform-field-label--type-inline">Antibody Binding</label>
</li>
<li class="gchoice gchoice_116_41_2">
<input class="gfield-choice-input" name="input_41.2" type="checkbox" value="Antibody Characterization" id="choice_116_41_2">
<label for="choice_116_41_2" id="label_116_41_2" class="gform-field-label gform-field-label--type-inline">Antibody Characterization</label>
</li>
<li class="gchoice gchoice_116_41_3">
<input class="gfield-choice-input" name="input_41.3" type="checkbox" value="Antibody Conjugation" id="choice_116_41_3">
<label for="choice_116_41_3" id="label_116_41_3" class="gform-field-label gform-field-label--type-inline">Antibody Conjugation</label>
</li>
<li class="gchoice gchoice_116_41_4">
<input class="gfield-choice-input" name="input_41.4" type="checkbox" value="Antibody Internalization" id="choice_116_41_4">
<label for="choice_116_41_4" id="label_116_41_4" class="gform-field-label gform-field-label--type-inline">Antibody Internalization</label>
</li>
<li class="gchoice gchoice_116_41_5">
<input class="gfield-choice-input" name="input_41.5" type="checkbox" value="Antibody Secretion / Elispot" id="choice_116_41_5">
<label for="choice_116_41_5" id="label_116_41_5" class="gform-field-label gform-field-label--type-inline">Antibody Secretion / Elispot</label>
</li>
<li class="gchoice gchoice_116_41_6">
<input class="gfield-choice-input" name="input_41.6" type="checkbox" value="Antibody-drug Conjugate" id="choice_116_41_6">
<label for="choice_116_41_6" id="label_116_41_6" class="gform-field-label gform-field-label--type-inline">Antibody-drug Conjugate</label>
</li>
<li class="gchoice gchoice_116_41_7">
<input class="gfield-choice-input" name="input_41.7" type="checkbox" value="Hybridoma Screening" id="choice_116_41_7">
<label for="choice_116_41_7" id="label_116_41_7" class="gform-field-label gform-field-label--type-inline">Hybridoma Screening</label>
</li>
<li class="gchoice gchoice_116_41_8">
<input class="gfield-choice-input" name="input_41.8" type="checkbox" value="Immunofluorescence" id="choice_116_41_8">
<label for="choice_116_41_8" id="label_116_41_8" class="gform-field-label gform-field-label--type-inline">Immunofluorescence</label>
</li>
<li class="gchoice gchoice_116_41_9">
<input class="gfield-choice-input" name="input_41.9" type="checkbox" value="Robotic Integration / Automation" id="choice_116_41_9">
<label for="choice_116_41_9" id="label_116_41_9" class="gform-field-label gform-field-label--type-inline">Robotic Integration / Automation</label>
</li>
</ul>
</div>
</li>
<li id="field_116_42" class="gfield gfield--type-checkbox gfield--type-choice gf_list_3col has-input-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible"
data-js-reload="field_116_42"><label class="gfield_label gform-field-label gfield_label_before_complex">Relevant Application(s)<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_116_42">Check all that apply</div>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_116_42">
<li class="gchoice gchoice_116_42_1">
<input class="gfield-choice-input" name="input_42.1" type="checkbox" value="Antibody Production" id="choice_116_42_1" aria-describedby="gfield_description_116_42">
<label for="choice_116_42_1" id="label_116_42_1" class="gform-field-label gform-field-label--type-inline">Antibody Production</label>
</li>
<li class="gchoice gchoice_116_42_2">
<input class="gfield-choice-input" name="input_42.2" type="checkbox" value="Automated Cell Counting" id="choice_116_42_2">
<label for="choice_116_42_2" id="label_116_42_2" class="gform-field-label gform-field-label--type-inline">Automated Cell Counting</label>
</li>
<li class="gchoice gchoice_116_42_3">
<input class="gfield-choice-input" name="input_42.3" type="checkbox" value="Automated Tissue Culture" id="choice_116_42_3">
<label for="choice_116_42_3" id="label_116_42_3" class="gform-field-label gform-field-label--type-inline">Automated Tissue Culture</label>
</li>
<li class="gchoice gchoice_116_42_4">
<input class="gfield-choice-input" name="input_42.4" type="checkbox" value="Batch Cell Culture / Bioreactors" id="choice_116_42_4">
<label for="choice_116_42_4" id="label_116_42_4" class="gform-field-label gform-field-label--type-inline">Batch Cell Culture / Bioreactors</label>
</li>
<li class="gchoice gchoice_116_42_5">
<input class="gfield-choice-input" name="input_42.5" type="checkbox" value="Cell proliferation / Clone expansion" id="choice_116_42_5">
<label for="choice_116_42_5" id="label_116_42_5" class="gform-field-label gform-field-label--type-inline">Cell proliferation / Clone expansion</label>
</li>
<li class="gchoice gchoice_116_42_6">
<input class="gfield-choice-input" name="input_42.6" type="checkbox" value="Continuous Cell Culture" id="choice_116_42_6">
<label for="choice_116_42_6" id="label_116_42_6" class="gform-field-label gform-field-label--type-inline">Continuous Cell Culture</label>
</li>
<li class="gchoice gchoice_116_42_7">
<input class="gfield-choice-input" name="input_42.7" type="checkbox" value="Downstream Bioprocessing" id="choice_116_42_7">
<label for="choice_116_42_7" id="label_116_42_7" class="gform-field-label gform-field-label--type-inline">Downstream Bioprocessing</label>
</li>
<li class="gchoice gchoice_116_42_8">
<input class="gfield-choice-input" name="input_42.8" type="checkbox" value="Monoclonality" id="choice_116_42_8">
<label for="choice_116_42_8" id="label_116_42_8" class="gform-field-label gform-field-label--type-inline">Monoclonality</label>
</li>
<li class="gchoice gchoice_116_42_9">
<input class="gfield-choice-input" name="input_42.9" type="checkbox" value="Recombinant Protein Production" id="choice_116_42_9">
<label for="choice_116_42_9" id="label_116_42_9" class="gform-field-label gform-field-label--type-inline">Recombinant Protein Production</label>
</li>
<li class="gchoice gchoice_116_42_11">
<input class="gfield-choice-input" name="input_42.11" type="checkbox" value="Robotic Integration / Automation" id="choice_116_42_11">
<label for="choice_116_42_11" id="label_116_42_11" class="gform-field-label gform-field-label--type-inline">Robotic Integration / Automation</label>
</li>
<li class="gchoice gchoice_116_42_12">
<input class="gfield-choice-input" name="input_42.12" type="checkbox" value="Upstream Bioprocessing" id="choice_116_42_12">
<label for="choice_116_42_12" id="label_116_42_12" class="gform-field-label gform-field-label--type-inline">Upstream Bioprocessing</label>
</li>
<li class="gchoice gchoice_116_42_13">
<input class="gfield-choice-input" name="input_42.13" type="checkbox" value="Yeast Based Therapeutics" id="choice_116_42_13">
<label for="choice_116_42_13" id="label_116_42_13" class="gform-field-label gform-field-label--type-inline">Yeast Based Therapeutics</label>
</li>
</ul>
</div>
</li>
<li id="field_116_43" class="gfield gfield--type-checkbox gfield--type-choice gf_list_3col has-input-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible"
data-js-reload="field_116_43"><label class="gfield_label gform-field-label gfield_label_before_complex">Relevant Application(s)<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_116_43">Check all that apply</div>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_116_43">
<li class="gchoice gchoice_116_43_1">
<input class="gfield-choice-input" name="input_43.1" type="checkbox" value="3D Models / Patient Derived Organoids" id="choice_116_43_1" aria-describedby="gfield_description_116_43">
<label for="choice_116_43_1" id="label_116_43_1" class="gform-field-label gform-field-label--type-inline">3D Models / Patient Derived Organoids</label>
</li>
<li class="gchoice gchoice_116_43_2">
<input class="gfield-choice-input" name="input_43.2" type="checkbox" value="Apoptosis" id="choice_116_43_2">
<label for="choice_116_43_2" id="label_116_43_2" class="gform-field-label gform-field-label--type-inline">Apoptosis</label>
</li>
<li class="gchoice gchoice_116_43_3">
<input class="gfield-choice-input" name="input_43.3" type="checkbox" value="Biologics" id="choice_116_43_3">
<label for="choice_116_43_3" id="label_116_43_3" class="gform-field-label gform-field-label--type-inline">Biologics</label>
</li>
<li class="gchoice gchoice_116_43_4">
<input class="gfield-choice-input" name="input_43.4" type="checkbox" value="Cell Cycle" id="choice_116_43_4">
<label for="choice_116_43_4" id="label_116_43_4" class="gform-field-label gform-field-label--type-inline">Cell Cycle</label>
</li>
<li class="gchoice gchoice_116_43_5">
<input class="gfield-choice-input" name="input_43.5" type="checkbox" value="Cell Proliferation" id="choice_116_43_5">
<label for="choice_116_43_5" id="label_116_43_5" class="gform-field-label gform-field-label--type-inline">Cell Proliferation</label>
</li>
<li class="gchoice gchoice_116_43_6">
<input class="gfield-choice-input" name="input_43.6" type="checkbox" value="Cell to Cell Interaction" id="choice_116_43_6">
<label for="choice_116_43_6" id="label_116_43_6" class="gform-field-label gform-field-label--type-inline">Cell to Cell Interaction</label>
</li>
<li class="gchoice gchoice_116_43_7">
<input class="gfield-choice-input" name="input_43.7" type="checkbox" value="Cell Viability" id="choice_116_43_7">
<label for="choice_116_43_7" id="label_116_43_7" class="gform-field-label gform-field-label--type-inline">Cell Viability</label>
</li>
<li class="gchoice gchoice_116_43_8">
<input class="gfield-choice-input" name="input_43.8" type="checkbox" value="Cytotoxicity" id="choice_116_43_8">
<label for="choice_116_43_8" id="label_116_43_8" class="gform-field-label gform-field-label--type-inline">Cytotoxicity</label>
</li>
<li class="gchoice gchoice_116_43_9">
<input class="gfield-choice-input" name="input_43.9" type="checkbox" value="High-Throughput Screening" id="choice_116_43_9">
<label for="choice_116_43_9" id="label_116_43_9" class="gform-field-label gform-field-label--type-inline">High-Throughput Screening</label>
</li>
<li class="gchoice gchoice_116_43_11">
<input class="gfield-choice-input" name="input_43.11" type="checkbox" value="MTT / CellTiter Glo" id="choice_116_43_11">
<label for="choice_116_43_11" id="label_116_43_11" class="gform-field-label gform-field-label--type-inline">MTT / CellTiter Glo</label>
</li>
<li class="gchoice gchoice_116_43_12">
<input class="gfield-choice-input" name="input_43.12" type="checkbox" value="Robotic Integration / Automation" id="choice_116_43_12">
<label for="choice_116_43_12" id="label_116_43_12" class="gform-field-label gform-field-label--type-inline">Robotic Integration / Automation</label>
</li>
<li class="gchoice gchoice_116_43_13">
<input class="gfield-choice-input" name="input_43.13" type="checkbox" value="Small Compounds" id="choice_116_43_13">
<label for="choice_116_43_13" id="label_116_43_13" class="gform-field-label gform-field-label--type-inline">Small Compounds</label>
</li>
</ul>
</div>
</li>
<li id="field_116_44" class="gfield gfield--type-checkbox gfield--type-choice gf_list_3col has-input-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible"
data-js-reload="field_116_44"><label class="gfield_label gform-field-label gfield_label_before_complex">Relevant Application(s)<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_116_44">Check all that apply</div>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_116_44">
<li class="gchoice gchoice_116_44_1">
<input class="gfield-choice-input" name="input_44.1" type="checkbox" value="Animal Take-down" id="choice_116_44_1" aria-describedby="gfield_description_116_44">
<label for="choice_116_44_1" id="label_116_44_1" class="gform-field-label gform-field-label--type-inline">Animal Take-down</label>
</li>
<li class="gchoice gchoice_116_44_2">
<input class="gfield-choice-input" name="input_44.2" type="checkbox" value="Immunofluorescence" id="choice_116_44_2">
<label for="choice_116_44_2" id="label_116_44_2" class="gform-field-label gform-field-label--type-inline">Immunofluorescence</label>
</li>
<li class="gchoice gchoice_116_44_3">
<input class="gfield-choice-input" name="input_44.3" type="checkbox" value="Immunophenotyping" id="choice_116_44_3">
<label for="choice_116_44_3" id="label_116_44_3" class="gform-field-label gform-field-label--type-inline">Immunophenotyping</label>
</li>
<li class="gchoice gchoice_116_44_4">
<input class="gfield-choice-input" name="input_44.4" type="checkbox" value="Large Scale in-vivo Studies" id="choice_116_44_4">
<label for="choice_116_44_4" id="label_116_44_4" class="gform-field-label gform-field-label--type-inline">Large Scale in-vivo Studies</label>
</li>
<li class="gchoice gchoice_116_44_5">
<input class="gfield-choice-input" name="input_44.5" type="checkbox" value="Primary Cell Counting / Viability" id="choice_116_44_5">
<label for="choice_116_44_5" id="label_116_44_5" class="gform-field-label gform-field-label--type-inline">Primary Cell Counting / Viability</label>
</li>
<li class="gchoice gchoice_116_44_6">
<input class="gfield-choice-input" name="input_44.6" type="checkbox" value="Mouse in-vivo Studies" id="choice_116_44_6">
<label for="choice_116_44_6" id="label_116_44_6" class="gform-field-label gform-field-label--type-inline">Mouse in-vivo Studies</label>
</li>
<li class="gchoice gchoice_116_44_7">
<input class="gfield-choice-input" name="input_44.7" type="checkbox" value="Mouse Tissue Primary Cells" id="choice_116_44_7">
<label for="choice_116_44_7" id="label_116_44_7" class="gform-field-label gform-field-label--type-inline">Mouse Tissue Primary Cells</label>
</li>
<li class="gchoice gchoice_116_44_8">
<input class="gfield-choice-input" name="input_44.8" type="checkbox" value="PBMC" id="choice_116_44_8">
<label for="choice_116_44_8" id="label_116_44_8" class="gform-field-label gform-field-label--type-inline">PBMC</label>
</li>
<li class="gchoice gchoice_116_44_9">
<input class="gfield-choice-input" name="input_44.9" type="checkbox" value="Transduction / Transfection" id="choice_116_44_9">
<label for="choice_116_44_9" id="label_116_44_9" class="gform-field-label gform-field-label--type-inline">Transduction / Transfection</label>
</li>
</ul>
</div>
</li>
<li id="field_116_45" class="gfield gfield--type-checkbox gfield--type-choice gf_list_3col has-input-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible"
data-js-reload="field_116_45"><label class="gfield_label gform-field-label gfield_label_before_complex">Relevant Application(s)<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_116_45">Check all that apply</div>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_116_45">
<li class="gchoice gchoice_116_45_1">
<input class="gfield-choice-input" name="input_45.1" type="checkbox" value="Differentiation Markers" id="choice_116_45_1" aria-describedby="gfield_description_116_45">
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Home/Training and Support/Quote Request – Segmentation
Quote Request – SegmentationPolly Mitchell2021-02-02T17:02:58+00:00
REQUEST A QUOTE
Thank you for your interest in our cell analysis systems and reagents from
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* Antibody Production
* Automated Cell Counting
* Automated Tissue Culture
* Batch Cell Culture / Bioreactors
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