formulatrix.com
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Submitted URL: https://formulatrix-dot-yamm-track.appspot.com/2TatZIGkemdNXkWkak_23dja8L5KETCc4_SzAqsQLJdk5W1dmgwFL7uOn-_XVyIFZx-7SLW1Xuj6yQHDH8_EJ6dI-RIbZ6fL...
Effective URL: https://formulatrix.com/liquid-handling-technology/
Submission: On October 06 via manual from US — Scanned from DE
Effective URL: https://formulatrix.com/liquid-handling-technology/
Submission: On October 06 via manual from US — Scanned from DE
Form analysis
5 forms found in the DOMGET https://formulatrix.com
<form class="pp-search-form" role="search" action="https://formulatrix.com" method="get">
<div class="pp-search-form__toggle">
<i class="fa fa-search" aria-hidden="true"></i>
<span class="pp-screen-reader-text">Search</span>
</div>
<div class="pp-search-form__container">
<input placeholder="Type your search and press enter" class="pp-search-form__input" type="search" name="s" title="Search" value="">
<div class="pp-search-form--lightbox-close">
<span class="pp-icon-close" aria-hidden="true">
<svg viewBox="0 0 40 40">
<path class="close-x" d="M 10,10 L 30,30 M 30,10 L 10,30"></path>
</svg>
</span>
<span class="pp-screen-reader-text">Close</span>
</div>
</div>
</form>
<form data-auto-scroll="" data-no-message-redirect="" data-thousand="" data-decimal="." data-delay="" data-id="3"
class="fc-form fc-form-3 align- save-form- dont-submit-hidden- disable-enter- label-placeholder field-border-visible frame-visible remove-asterisk-true icons-hide-true field-alignment-left options-fade align-left"
style="width: 600px; color: #666666; font-size: 100%; background: #ffffff">
<!-- ngRepeat: page in Builder.FormElements track by $index -->
<div class="form-page form-page-0 active" data-index="0">
<div class="form-page-content ng-not-empty">
<div data-identifier="field1" data-index="0" style="width: 100%" class=" form-element form-element-field1 options-false form-element-0 default-false form-element-type-heading is-required-false odd -handle">
<div class="form-element-html">
<div>
<div style="background-color: #ffffff" class="heading-cover field-cover ">
<div style="text-align: center; font-size: 1.7000000000000002em; padding-top: 20px; padding-bottom: 10px; color: #3f3f3f" class="bold-"><span>Request More Information</span></div><input type="hidden" data-field-id="field1"
name="field1[]" value="Request More Information">
</div>
</div>
</div>
</div>
<div data-identifier="field19" data-index="1" style="width: 100%" class=" even form-element form-element-field19 options-false form-element-1 default-false form-element-type-customText is-required-false -handle">
<div class="form-element-html">
<div>
<div class="absolute-false customText-cover field-cover" style="left: ; top: ;right: ;bottom: ;color: #f89724 !important; background-color:">
<div class="full" style="text-align: left">
<p>All fields are required.</p>
</div><input type="hidden" name="field19" data-field-id="field19">
</div>
</div>
</div>
</div>
<div data-identifier="field2" data-index="2" style="width: 50%" class=" form-element form-element-field2 options-false form-element-2 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>First Name</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="First Name" make-read-only="" data-field-id="field2" name="field2[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="true" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field3" data-index="3" style="width: 50%" class=" even form-element form-element-field3 options-false form-element-3 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Last Name</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="Last Name" make-read-only="" data-field-id="field3" name="field3[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="true" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field4" data-index="4" style="width: 50%" class=" form-element form-element-field4 options-false form-element-4 default-false form-element-type-email is-required-true odd -handle">
<div class="form-element-html">
<div><label class="email-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Email</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input placeholder="Email" data-field-id="field4" type="text" data-val-type="email" make-read-only="" data-is-required="true" name="field4" class="validation-lenient" data-placement="right"
data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""><i class="formcraft-icon">email</i></div>
</label></div>
</div>
</div>
<div data-identifier="field21" data-index="5" style="width: 50%" class=" even form-element form-element-field21 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Phone #</span></span><span class="sub-label"><span>your full name</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Phone #" make-read-only="false" data-field-id="field21" name="field21[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field5" data-index="6" style="width: 50%" class=" form-element form-element-field5 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Company/Institute</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="Company/Institute" make-read-only="" data-field-id="field5" name="field5[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="true" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field9" data-index="7" style="width: 50%" class=" even form-element form-element-field9 options-false form-element-7 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>Country</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field9" name="field9" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Country</option>
<option value="Afghanistan" class=" ">Afghanistan</option>
<option value="Albania" class=" ">Albania</option>
<option value="Algeria" class=" ">Algeria</option>
<option value="Andorra" class=" ">Andorra</option>
<option value="Angola" class=" ">Angola</option>
<option value="Antigua and Barbuda" class=" ">Antigua and Barbuda</option>
<option value="Argentina" class=" ">Argentina</option>
<option value="Armenia" class=" ">Armenia</option>
<option value="Aruba" class=" ">Aruba</option>
<option value="Australia" class=" ">Australia</option>
<option value="Austria" class=" ">Austria</option>
<option value="Azerbaijan" class=" ">Azerbaijan</option>
<option value="Bahamas, The" class=" ">Bahamas, The</option>
<option value="Bahrain" class=" ">Bahrain</option>
<option value="Bangladesh" class=" ">Bangladesh</option>
<option value="Barbados" class=" ">Barbados</option>
<option value="Belarus" class=" ">Belarus</option>
<option value="Belgium" class=" ">Belgium</option>
<option value="Belize" class=" ">Belize</option>
<option value="Benin" class=" ">Benin</option>
<option value="Bhutan" class=" ">Bhutan</option>
<option value="Bolivia" class=" ">Bolivia</option>
<option value="Bos. & Herz." class=" ">Bos. & Herz.</option>
<option value="Botswana" class=" ">Botswana</option>
<option value="Brazil" class=" ">Brazil</option>
<option value="British Virgin Islands" class=" ">British Virgin Islands</option>
<option value="Brunei" class=" ">Brunei</option>
<option value="Bulgaria" class=" ">Bulgaria</option>
<option value="Burkina Faso" class=" ">Burkina Faso</option>
<option value="Burma" class=" ">Burma</option>
<option value="Burundi" class=" ">Burundi</option>
<option value="Cambodia" class=" ">Cambodia</option>
<option value="Cameroon" class=" ">Cameroon</option>
<option value="Canada" class=" ">Canada</option>
<option value="Cape Verde" class=" ">Cape Verde</option>
<option value="Central African Republic" class=" ">Central African Republic</option>
<option value="Chad" class=" ">Chad</option>
<option value="Chile" class=" ">Chile</option>
<option value="China" class=" ">China</option>
<option value="Colombia" class=" ">Colombia</option>
<option value="Comoros" class=" ">Comoros</option>
<option value="Congo, Democratic Republic of the" class=" ">Congo, Democratic Republic of the</option>
<option value="Congo, Republic of the" class=" ">Congo, Republic of the</option>
<option value="Costa Rica" class=" ">Costa Rica</option>
<option value="Cote d'Ivoire" class=" ">Cote d'Ivoire</option>
<option value="Croatia" class=" ">Croatia</option>
<option value="Cuba" class=" ">Cuba</option>
<option value="Curacao" class=" ">Curacao</option>
<option value="Cyprus" class=" ">Cyprus</option>
<option value="Czech Republic" class=" ">Czech Republic</option>
<option value="Denmark" class=" ">Denmark</option>
<option value="Djibouti" class=" ">Djibouti</option>
<option value="Dominica" class=" ">Dominica</option>
<option value="Dominican Republic" class=" ">Dominican Republic</option>
<option value="East Timor" class=" ">East Timor</option>
<option value="Ecuador" class=" ">Ecuador</option>
<option value="Egypt" class=" ">Egypt</option>
<option value="El Salvador" class=" ">El Salvador</option>
<option value="Equatorial Guinea" class=" ">Equatorial Guinea</option>
<option value="Eritrea" class=" ">Eritrea</option>
<option value="Estonia" class=" ">Estonia</option>
<option value="Ethiopia" class=" ">Ethiopia</option>
<option value="Faroe Islands" class=" ">Faroe Islands</option>
<option value="Fiji" class=" ">Fiji</option>
<option value="Finland" class=" ">Finland</option>
<option value="France" class=" ">France</option>
<option value="French Guiana" class=" ">French Guiana</option>
<option value="Gabon" class=" ">Gabon</option>
<option value="Gambia, The" class=" ">Gambia, The</option>
<option value="Georgia" class=" ">Georgia</option>
<option value="Germany" class=" ">Germany</option>
<option value="Ghana" class=" ">Ghana</option>
<option value="Greece" class=" ">Greece</option>
<option value="Grenada" class=" ">Grenada</option>
<option value="Guatemala" class=" ">Guatemala</option>
<option value="Guinea" class=" ">Guinea</option>
<option value="Guinea-Bissau" class=" ">Guinea-Bissau</option>
<option value="Guyana" class=" ">Guyana</option>
<option value="Haiti" class=" ">Haiti</option>
<option value="Holy See" class=" ">Holy See</option>
<option value="Honduras" class=" ">Honduras</option>
<option value="Hong Kong" class=" ">Hong Kong</option>
<option value="Hungary" class=" ">Hungary</option>
<option value="Iceland" class=" ">Iceland</option>
<option value="India" class=" ">India</option>
<option value="Indonesia" class=" ">Indonesia</option>
<option value="Iran" class=" ">Iran</option>
<option value="Iraq" class=" ">Iraq</option>
<option value="Ireland" class=" ">Ireland</option>
<option value="Israel" class=" ">Israel</option>
<option value="Italy" class=" ">Italy</option>
<option value="Jamaica" class=" ">Jamaica</option>
<option value="Japan" class=" ">Japan</option>
<option value="Jordan" class=" ">Jordan</option>
<option value="Kazakhstan" class=" ">Kazakhstan</option>
<option value="Kenya" class=" ">Kenya</option>
<option value="Kiribati" class=" ">Kiribati</option>
<option value="Kosovo" class=" ">Kosovo</option>
<option value="Kuwait" class=" ">Kuwait</option>
<option value="Kyrgyzstan" class=" ">Kyrgyzstan</option>
<option value="Laos" class=" ">Laos</option>
<option value="Latvia" class=" ">Latvia</option>
<option value="Lebanon" class=" ">Lebanon</option>
<option value="Lesotho" class=" ">Lesotho</option>
<option value="Liberia" class=" ">Liberia</option>
<option value="Libya" class=" ">Libya</option>
<option value="Liechtenstein" class=" ">Liechtenstein</option>
<option value="Lithuania" class=" ">Lithuania</option>
<option value="Luxembourg" class=" ">Luxembourg</option>
<option value="Macau" class=" ">Macau</option>
<option value="Macedonia" class=" ">Macedonia</option>
<option value="Madagascar" class=" ">Madagascar</option>
<option value="Malawi" class=" ">Malawi</option>
<option value="Malaysia" class=" ">Malaysia</option>
<option value="Maldives" class=" ">Maldives</option>
<option value="Mali" class=" ">Mali</option>
<option value="Malta" class=" ">Malta</option>
<option value="Marshall Islands" class=" ">Marshall Islands</option>
<option value="Mauritania" class=" ">Mauritania</option>
<option value="Mauritius" class=" ">Mauritius</option>
<option value="Mexico" class=" ">Mexico</option>
<option value="Micronesia" class=" ">Micronesia</option>
<option value="Moldova" class=" ">Moldova</option>
<option value="Monaco" class=" ">Monaco</option>
<option value="Mongolia" class=" ">Mongolia</option>
<option value="Montenegro" class=" ">Montenegro</option>
<option value="Morocco" class=" ">Morocco</option>
<option value="Mozambique" class=" ">Mozambique</option>
<option value="Namibia" class=" ">Namibia</option>
<option value="Nauru" class=" ">Nauru</option>
<option value="Nepal" class=" ">Nepal</option>
<option value="Netherlands Antilles" class=" ">Netherlands Antilles</option>
<option value="New Zealand" class=" ">New Zealand</option>
<option value="Nicaragua" class=" ">Nicaragua</option>
<option value="Niger" class=" ">Niger</option>
<option value="Nigeria" class=" ">Nigeria</option>
<option value="North England" class=" ">North England</option>
<option value="North Korea" class=" ">North Korea</option>
<option value="Norway" class=" ">Norway</option>
<option value="Oman" class=" ">Oman</option>
<option value="Pakistan" class=" ">Pakistan</option>
<option value="Palau" class=" ">Palau</option>
<option value="Palestine" class=" ">Palestine</option>
<option value="Palestinian Territories" class=" ">Palestinian Territories</option>
<option value="Panama" class=" ">Panama</option>
<option value="Papua New Guinea" class=" ">Papua New Guinea</option>
<option value="Paraguay" class=" ">Paraguay</option>
<option value="Peru" class=" ">Peru</option>
<option value="Philippines" class=" ">Philippines</option>
<option value="Poland" class=" ">Poland</option>
<option value="Portugal" class=" ">Portugal</option>
<option value="Puerto Rico" class=" ">Puerto Rico</option>
<option value="Qatar" class=" ">Qatar</option>
<option value="Romania" class=" ">Romania</option>
<option value="Russia" class=" ">Russia</option>
<option value="Rwanda" class=" ">Rwanda</option>
<option value="Saint Kitts and Nevis" class=" ">Saint Kitts and Nevis</option>
<option value="Saint Lucia" class=" ">Saint Lucia</option>
<option value="Saint Vincent and the Grenadines" class=" ">Saint Vincent and the Grenadines</option>
<option value="Samoa" class=" ">Samoa</option>
<option value="San Marino" class=" ">San Marino</option>
<option value="Sao Tome and Principe" class=" ">Sao Tome and Principe</option>
<option value="Saudi Arabia" class=" ">Saudi Arabia</option>
<option value="Senegal" class=" ">Senegal</option>
<option value="Serbia" class=" ">Serbia</option>
<option value="Seychelles" class=" ">Seychelles</option>
<option value="Sierra Leone" class=" ">Sierra Leone</option>
<option value="Singapore" class=" ">Singapore</option>
<option value="Sint Maarten" class=" ">Sint Maarten</option>
<option value="Slovakia" class=" ">Slovakia</option>
<option value="Slovenia" class=" ">Slovenia</option>
<option value="Solomon Islands" class=" ">Solomon Islands</option>
<option value="Somalia" class=" ">Somalia</option>
<option value="South Africa" class=" ">South Africa</option>
<option value="South Korea" class=" ">South Korea</option>
<option value="South Sudan" class=" ">South Sudan</option>
<option value="Spain" class=" ">Spain</option>
<option value="Sri Lanka" class=" ">Sri Lanka</option>
<option value="Sudan" class=" ">Sudan</option>
<option value="Suriname" class=" ">Suriname</option>
<option value="Swaziland" class=" ">Swaziland</option>
<option value="Sweden" class=" ">Sweden</option>
<option value="Switzerland" class=" ">Switzerland</option>
<option value="Syria" class=" ">Syria</option>
<option value="Taiwan" class=" ">Taiwan</option>
<option value="Tajikistan" class=" ">Tajikistan</option>
<option value="Tanzania" class=" ">Tanzania</option>
<option value="Thailand" class=" ">Thailand</option>
<option value="The Netherlands" class=" ">The Netherlands</option>
<option value="Timor-Leste" class=" ">Timor-Leste</option>
<option value="Togo" class=" ">Togo</option>
<option value="Tonga" class=" ">Tonga</option>
<option value="Trinidad and Tobago" class=" ">Trinidad and Tobago</option>
<option value="Tunisia" class=" ">Tunisia</option>
<option value="Turkey" class=" ">Turkey</option>
<option value="Turkmenistan" class=" ">Turkmenistan</option>
<option value="Tuvalu" class=" ">Tuvalu</option>
<option value="UAE" class=" ">UAE</option>
<option value="Uganda" class=" ">Uganda</option>
<option value="Ukraine" class=" ">Ukraine</option>
<option value="United Kingdom" class=" ">United Kingdom</option>
<option value="Uruguay" class=" ">Uruguay</option>
<option value="USA" class=" ">USA</option>
<option value="Uzbekistan" class=" ">Uzbekistan</option>
<option value="Vanuatu" class=" ">Vanuatu</option>
<option value="Venezuela" class=" ">Venezuela</option>
<option value="Vietnam" class=" ">Vietnam</option>
<option value="Yemen" class=" ">Yemen</option>
<option value="Zambia" class=" ">Zambia</option>
<option value="Zimbabwe" class=" ">Zimbabwe</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field7" data-index="8" style="width: 100%; display: none;" class="form-element form-element-field7 options-false form-element-8 default-true form-element-type-dropdown is-required-true odd -handle state-hidden">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>State</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field7" name="field7" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">State</option>
<option value="AL" class=" ">Alabama</option>
<option value="AK" class=" ">Alaska</option>
<option value="AZ" class=" ">Arizona</option>
<option value="AR" class=" ">Arkansas</option>
<option value="CA" class=" ">California</option>
<option value="CO" class=" ">Colorado</option>
<option value="CT" class=" ">Connecticut</option>
<option value="DE" class=" ">Delaware</option>
<option value="FL" class=" ">Florida</option>
<option value="GA" class=" ">Georgia</option>
<option value="HI" class=" ">Hawaii</option>
<option value="ID" class=" ">Idaho</option>
<option value="IL" class=" ">Illinois</option>
<option value="IN" class=" ">Indiana</option>
<option value="IA" class=" ">Iowa</option>
<option value="KS" class=" ">Kansas</option>
<option value="KY" class=" ">Kentucky</option>
<option value="LA" class=" ">Louisiana</option>
<option value="ME" class=" ">Maine</option>
<option value="MD" class=" ">Maryland</option>
<option value="MA" class=" ">Massachusetts</option>
<option value="MI" class=" ">Michigan</option>
<option value="MN" class=" ">Minnesota</option>
<option value="MS" class=" ">Mississippi</option>
<option value="MO" class=" ">Missouri</option>
<option value="MT" class=" ">Montana</option>
<option value="NE" class=" ">Nebraska</option>
<option value="NV" class=" ">Nevada</option>
<option value="NH" class=" ">New Hampshire</option>
<option value="NJ" class=" ">New Jersey</option>
<option value="NM" class=" ">New Mexico</option>
<option value="NY" class=" ">New York</option>
<option value="NC" class=" ">North Carolina</option>
<option value="ND" class=" ">North Dakota</option>
<option value="OH" class=" ">Ohio</option>
<option value="OK" class=" ">Oklahoma</option>
<option value="OR" class=" ">Oregon</option>
<option value="PA" class=" ">Pennsylvania</option>
<option value="RI" class=" ">Rhode Island</option>
<option value="SC" class=" ">South Carolina</option>
<option value="SD" class=" ">South Dakota</option>
<option value="TN" class=" ">Tennessee</option>
<option value="TX" class=" ">Texas</option>
<option value="UT" class=" ">Utah</option>
<option value="VT" class=" ">Vermont</option>
<option value="VA" class=" ">Virginia</option>
<option value="WA" class=" ">Washington</option>
<option value="WV" class=" ">West Virginia</option>
<option value="WI" class=" ">Wisconsin</option>
<option value="WY" class=" ">Wyoming</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field22" data-index="9" style="width: 100%; display: none;" class="even form-element form-element-field22 options-false form-element-9 default-true form-element-type-oneLineText is-required-true -handle state-hidden">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>City</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="City" make-read-only="false" data-field-id="field22" name="field22[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field23" data-index="10" style="width: 100%; display: none;" class="form-element form-element-field23 options-false form-element-10 default-true form-element-type-oneLineText is-required-true odd -handle state-hidden">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Postal Code</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="Postal Code" make-read-only="false" data-field-id="field23" name="field23[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field10" data-index="11" style="width: 100%" class=" even form-element form-element-field10 options-false form-element-11 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>How did you hear about us?</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field10" name="field10" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">How did you hear about us?</option>
<option value="Social Media" class=" ">Social Media</option>
<option value="Internet Search" class=" ">Internet Search</option>
<option value="Trade Show" class=" ">Trade Show</option>
<option value="Digital Ad" class=" ">Digital Ad</option>
<option value="Email Campaign" class=" ">Email Campaign</option>
<option value="Sales Call" class=" ">Sales Call</option>
<option value="Word of Mouth" class=" ">Word of Mouth</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field11" data-index="12" style="width: 100%" class=" form-element form-element-field11 form-element-12 default-false form-element-type-checkbox is-required-false odd options-true -handle">
<div class="form-element-html">
<div>
<div class="images-false checkbox-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Request Brochure</span></span><span class="sub-label"></span></span>
<div data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true" data-original-title=""><span class="error"></span><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox"
data-is-required="false" name="field11[]" value="<a href="https://formulatrix.com/brochures/mantis.pdf">MANTIS® Liquid Handler</a>" class="validation-lenient"><span><span>MANTIS® Liquid
Handler</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox" data-is-required="false" name="field11[]" value="TEMPEST® Liquid Handler"
class="validation-lenient"><span><span>TEMPEST® Liquid Handler</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox" data-is-required="false" name="field11[]"
value="FLO i8 Liquid Handler" class="validation-lenient"><span><span>FLO i8 Liquid Handler</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox" data-is-required="false"
name="field11[]" value="F.A.S.T. Liquid Handler" class="validation-lenient"><span><span>F.A.S.T. Liquid Handler</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox"
data-is-required="false" name="field11[]" value="ROVER Laboratory Automation" class="validation-lenient"><span><span>ROVER Laboratory Automation</span></span></label><label style="width:"><img alt=""><input data-field-id="field11"
type="checkbox" data-is-required="false" name="field11[]" value="OEM Projects/Custom Engineering" class="validation-lenient"><span><span>OEM Projects/Custom Engineering</span></span></label></div>
</div>
</div>
</div>
</div>
<div data-identifier="field12" data-index="13" style="width: 100%" class=" form-element form-element-field12 default-false form-element-type-textarea is-required-false options-false even form-element-13 -handle">
<div class="form-element-html">
<div><label class="textarea-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Comments / Questions</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><textarea data-field-id="field12" placeholder="Comments / Questions" class="validation-lenient" name="field12" value="" rows="3" data-min-char="" data-max-char="" data-is-required="false"
data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title="" style="min-height: 91.4167px; overflow: hidden visible; overflow-wrap: break-word;"></textarea>
<div class="count-"><span class="current-count">0</span> / <span class="max-count "></span></div>
</div>
</label></div>
</div>
</div>
<div data-identifier="field14" data-index="14" style="width: 100%" class=" form-element form-element-field14 options-false default-false form-element-type-submit is-required-false odd form-element-14 -handle">
<div class="form-element-html">
<div>
<div class="align-center wide-true submit-cover field-cover"><button type="submit" class="button submit-button"><span class="text ">Submit Form</span><span
class="spin-cover"><i style="color:" class="loading-icon icon-cog animate-spin"></i></span></button></div>
<div class="submit-response "></div><label><input type="text" class="required_field" name="website" autocomplete="maple-syrup-pot" style="display: none;"></label>
</div>
</div>
</div>
</div>
</div><!-- end ngRepeat: page in Builder.FormElements track by $index -->
</form>
<form data-auto-scroll="" data-no-message-redirect="" data-thousand="" data-decimal="." data-delay="" data-id="20"
class="fc-form fc-form-20 align- save-form- dont-submit-hidden- disable-enter- label-placeholder field-border-visible frame-visible remove-asterisk-true icons-hide-true field-alignment-left align-left"
style="width: 600px; color: #666666; font-size: 100%; background: #ffffff">
<!-- ngRepeat: page in Builder.FormElements track by $index -->
<div class="form-page form-page-0 active" data-index="0">
<div class="form-page-content ng-not-empty">
<div data-identifier="field1" data-index="0" style="width: 100%" class=" form-element form-element-field1 options-false form-element-0 default-false form-element-type-heading is-required-false odd -handle">
<div class="form-element-html">
<div>
<div style="background-color: #ffffff" class="heading-cover field-cover ">
<div style="text-align: center; font-size: 1.6em; padding-top: 20px; padding-bottom: 10px; color: #545454" class="bold-"><span>Tell us about your project or ask us a question. We're here to help!</span></div><input type="hidden"
data-field-id="field1" name="field1[]" value="Tell us about your project or ask us a question. We're here to help!">
</div>
</div>
</div>
</div>
<div data-identifier="field19" data-index="1" style="width: 100%" class=" even form-element form-element-field19 options-false form-element-1 default-false form-element-type-customText is-required-false -handle">
<div class="form-element-html">
<div>
<div class="absolute-false customText-cover field-cover" style="left: ; top: ;right: ;bottom: ;color: #f89724 !important; background-color:">
<div class="full" style="text-align: left">
<p>All fields are required.</p>
</div><input type="hidden" name="field19" data-field-id="field19">
</div>
</div>
</div>
</div>
<div data-identifier="field2" data-index="2" style="width: 50%" class=" form-element form-element-field2 options-false form-element-2 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>First Name</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="First Name" make-read-only="" data-field-id="field2" name="field2[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="true" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field3" data-index="3" style="width: 50%" class=" even form-element form-element-field3 options-false form-element-3 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Last Name</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="Last Name" make-read-only="" data-field-id="field3" name="field3[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="true" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field4" data-index="4" style="width: 100%" class=" form-element form-element-field4 options-false form-element-4 default-false form-element-type-email is-required-true odd -handle">
<div class="form-element-html">
<div><label class="email-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Email</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input placeholder="Email" data-field-id="field4" type="text" data-val-type="email" make-read-only="" data-is-required="true" name="field4" class="validation-lenient" data-placement="right"
data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""><i class="formcraft-icon">email</i></div>
</label></div>
</div>
</div>
<div data-identifier="field5" data-index="5" style="width: 50%" class=" even form-element form-element-field5 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Company/Institute</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="Company/Institute" make-read-only="" data-field-id="field5" name="field5[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="true" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field32" data-index="6" style="width: 50%" class=" form-element form-element-field32 options-false form-element-6 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>Country</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field32" name="field32" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Country</option>
<option value="Afghanistan" class=" ">Afghanistan</option>
<option value="Albania" class=" ">Albania</option>
<option value="Algeria" class=" ">Algeria</option>
<option value="Andorra" class=" ">Andorra</option>
<option value="Angola" class=" ">Angola</option>
<option value="Antigua and Barbuda" class=" ">Antigua and Barbuda</option>
<option value="Argentina" class=" ">Argentina</option>
<option value="Armenia" class=" ">Armenia</option>
<option value="Aruba" class=" ">Aruba</option>
<option value="Australia" class=" ">Australia</option>
<option value="Austria" class=" ">Austria</option>
<option value="Azerbaijan" class=" ">Azerbaijan</option>
<option value="Bahamas, The" class=" ">Bahamas, The</option>
<option value="Bahrain" class=" ">Bahrain</option>
<option value="Bangladesh" class=" ">Bangladesh</option>
<option value="Barbados" class=" ">Barbados</option>
<option value="Belarus" class=" ">Belarus</option>
<option value="Belgium" class=" ">Belgium</option>
<option value="Belize" class=" ">Belize</option>
<option value="Benin" class=" ">Benin</option>
<option value="Bhutan" class=" ">Bhutan</option>
<option value="Bolivia" class=" ">Bolivia</option>
<option value="Bos. & Herz." class=" ">Bos. & Herz.</option>
<option value="Botswana" class=" ">Botswana</option>
<option value="Brazil" class=" ">Brazil</option>
<option value="British Virgin Islands" class=" ">British Virgin Islands</option>
<option value="Brunei" class=" ">Brunei</option>
<option value="Bulgaria" class=" ">Bulgaria</option>
<option value="Burkina Faso" class=" ">Burkina Faso</option>
<option value="Burma" class=" ">Burma</option>
<option value="Burundi" class=" ">Burundi</option>
<option value="Cambodia" class=" ">Cambodia</option>
<option value="Cameroon" class=" ">Cameroon</option>
<option value="Canada" class=" ">Canada</option>
<option value="Cape Verde" class=" ">Cape Verde</option>
<option value="Central African Republic" class=" ">Central African Republic</option>
<option value="Chad" class=" ">Chad</option>
<option value="Chile" class=" ">Chile</option>
<option value="China" class=" ">China</option>
<option value="Colombia" class=" ">Colombia</option>
<option value="Comoros" class=" ">Comoros</option>
<option value="Congo, Democratic Republic of the" class=" ">Congo, Democratic Republic of the</option>
<option value="Congo, Republic of the" class=" ">Congo, Republic of the</option>
<option value="Costa Rica" class=" ">Costa Rica</option>
<option value="Cote d'Ivoire" class=" ">Cote d'Ivoire</option>
<option value="Croatia" class=" ">Croatia</option>
<option value="Cuba" class=" ">Cuba</option>
<option value="Curacao" class=" ">Curacao</option>
<option value="Cyprus" class=" ">Cyprus</option>
<option value="Czech Republic" class=" ">Czech Republic</option>
<option value="Denmark" class=" ">Denmark</option>
<option value="Djibouti" class=" ">Djibouti</option>
<option value="Dominica" class=" ">Dominica</option>
<option value="Dominican Republic" class=" ">Dominican Republic</option>
<option value="East Timor" class=" ">East Timor</option>
<option value="Ecuador" class=" ">Ecuador</option>
<option value="Egypt" class=" ">Egypt</option>
<option value="El Salvador" class=" ">El Salvador</option>
<option value="Equatorial Guinea" class=" ">Equatorial Guinea</option>
<option value="Eritrea" class=" ">Eritrea</option>
<option value="Estonia" class=" ">Estonia</option>
<option value="Ethiopia" class=" ">Ethiopia</option>
<option value="Faroe Islands" class=" ">Faroe Islands</option>
<option value="Fiji" class=" ">Fiji</option>
<option value="Finland" class=" ">Finland</option>
<option value="France" class=" ">France</option>
<option value="French Guiana" class=" ">French Guiana</option>
<option value="Gabon" class=" ">Gabon</option>
<option value="Gambia, The" class=" ">Gambia, The</option>
<option value="Georgia" class=" ">Georgia</option>
<option value="Germany" class=" ">Germany</option>
<option value="Ghana" class=" ">Ghana</option>
<option value="Greece" class=" ">Greece</option>
<option value="Grenada" class=" ">Grenada</option>
<option value="Guatemala" class=" ">Guatemala</option>
<option value="Guinea" class=" ">Guinea</option>
<option value="Guinea-Bissau" class=" ">Guinea-Bissau</option>
<option value="Guyana" class=" ">Guyana</option>
<option value="Haiti" class=" ">Haiti</option>
<option value="Holy See" class=" ">Holy See</option>
<option value="Honduras" class=" ">Honduras</option>
<option value="Hong Kong" class=" ">Hong Kong</option>
<option value="Hungary" class=" ">Hungary</option>
<option value="Iceland" class=" ">Iceland</option>
<option value="India" class=" ">India</option>
<option value="Indonesia" class=" ">Indonesia</option>
<option value="Iran" class=" ">Iran</option>
<option value="Iraq" class=" ">Iraq</option>
<option value="Ireland" class=" ">Ireland</option>
<option value="Israel" class=" ">Israel</option>
<option value="Italy" class=" ">Italy</option>
<option value="Jamaica" class=" ">Jamaica</option>
<option value="Japan" class=" ">Japan</option>
<option value="Jordan" class=" ">Jordan</option>
<option value="Kazakhstan" class=" ">Kazakhstan</option>
<option value="Kenya" class=" ">Kenya</option>
<option value="Kiribati" class=" ">Kiribati</option>
<option value="Kosovo" class=" ">Kosovo</option>
<option value="Kuwait" class=" ">Kuwait</option>
<option value="Kyrgyzstan" class=" ">Kyrgyzstan</option>
<option value="Laos" class=" ">Laos</option>
<option value="Latvia" class=" ">Latvia</option>
<option value="Lebanon" class=" ">Lebanon</option>
<option value="Lesotho" class=" ">Lesotho</option>
<option value="Liberia" class=" ">Liberia</option>
<option value="Libya" class=" ">Libya</option>
<option value="Liechtenstein" class=" ">Liechtenstein</option>
<option value="Lithuania" class=" ">Lithuania</option>
<option value="Luxembourg" class=" ">Luxembourg</option>
<option value="Macau" class=" ">Macau</option>
<option value="Macedonia" class=" ">Macedonia</option>
<option value="Madagascar" class=" ">Madagascar</option>
<option value="Malawi" class=" ">Malawi</option>
<option value="Malaysia" class=" ">Malaysia</option>
<option value="Maldives" class=" ">Maldives</option>
<option value="Mali" class=" ">Mali</option>
<option value="Malta" class=" ">Malta</option>
<option value="Marshall Islands" class=" ">Marshall Islands</option>
<option value="Mauritania" class=" ">Mauritania</option>
<option value="Mauritius" class=" ">Mauritius</option>
<option value="Mexico" class=" ">Mexico</option>
<option value="Micronesia" class=" ">Micronesia</option>
<option value="Moldova" class=" ">Moldova</option>
<option value="Monaco" class=" ">Monaco</option>
<option value="Mongolia" class=" ">Mongolia</option>
<option value="Montenegro" class=" ">Montenegro</option>
<option value="Morocco" class=" ">Morocco</option>
<option value="Mozambique" class=" ">Mozambique</option>
<option value="Namibia" class=" ">Namibia</option>
<option value="Nauru" class=" ">Nauru</option>
<option value="Nepal" class=" ">Nepal</option>
<option value="Netherlands Antilles" class=" ">Netherlands Antilles</option>
<option value="New Zealand" class=" ">New Zealand</option>
<option value="Nicaragua" class=" ">Nicaragua</option>
<option value="Niger" class=" ">Niger</option>
<option value="Nigeria" class=" ">Nigeria</option>
<option value="North England" class=" ">North England</option>
<option value="North Korea" class=" ">North Korea</option>
<option value="Norway" class=" ">Norway</option>
<option value="Oman" class=" ">Oman</option>
<option value="Pakistan" class=" ">Pakistan</option>
<option value="Palau" class=" ">Palau</option>
<option value="Palestine" class=" ">Palestine</option>
<option value="Palestinian Territories" class=" ">Palestinian Territories</option>
<option value="Panama" class=" ">Panama</option>
<option value="Papua New Guinea" class=" ">Papua New Guinea</option>
<option value="Paraguay" class=" ">Paraguay</option>
<option value="Peru" class=" ">Peru</option>
<option value="Philippines" class=" ">Philippines</option>
<option value="Poland" class=" ">Poland</option>
<option value="Portugal" class=" ">Portugal</option>
<option value="Puerto Rico" class=" ">Puerto Rico</option>
<option value="Qatar" class=" ">Qatar</option>
<option value="Romania" class=" ">Romania</option>
<option value="Russia" class=" ">Russia</option>
<option value="Rwanda" class=" ">Rwanda</option>
<option value="Saint Kitts and Nevis" class=" ">Saint Kitts and Nevis</option>
<option value="Saint Lucia" class=" ">Saint Lucia</option>
<option value="Saint Vincent and the Grenadines" class=" ">Saint Vincent and the Grenadines</option>
<option value="Samoa" class=" ">Samoa</option>
<option value="San Marino" class=" ">San Marino</option>
<option value="Sao Tome and Principe" class=" ">Sao Tome and Principe</option>
<option value="Saudi Arabia" class=" ">Saudi Arabia</option>
<option value="Senegal" class=" ">Senegal</option>
<option value="Serbia" class=" ">Serbia</option>
<option value="Seychelles" class=" ">Seychelles</option>
<option value="Sierra Leone" class=" ">Sierra Leone</option>
<option value="Singapore" class=" ">Singapore</option>
<option value="Sint Maarten" class=" ">Sint Maarten</option>
<option value="Slovakia" class=" ">Slovakia</option>
<option value="Slovenia" class=" ">Slovenia</option>
<option value="Solomon Islands" class=" ">Solomon Islands</option>
<option value="Somalia" class=" ">Somalia</option>
<option value="South Africa" class=" ">South Africa</option>
<option value="South Korea" class=" ">South Korea</option>
<option value="South Sudan" class=" ">South Sudan</option>
<option value="Spain" class=" ">Spain</option>
<option value="Sri Lanka" class=" ">Sri Lanka</option>
<option value="Sudan" class=" ">Sudan</option>
<option value="Suriname" class=" ">Suriname</option>
<option value="Swaziland" class=" ">Swaziland</option>
<option value="Sweden" class=" ">Sweden</option>
<option value="Switzerland" class=" ">Switzerland</option>
<option value="Syria" class=" ">Syria</option>
<option value="Taiwan" class=" ">Taiwan</option>
<option value="Tajikistan" class=" ">Tajikistan</option>
<option value="Tanzania" class=" ">Tanzania</option>
<option value="Thailand" class=" ">Thailand</option>
<option value="The Netherlands" class=" ">The Netherlands</option>
<option value="Timor-Leste" class=" ">Timor-Leste</option>
<option value="Togo" class=" ">Togo</option>
<option value="Tonga" class=" ">Tonga</option>
<option value="Trinidad and Tobago" class=" ">Trinidad and Tobago</option>
<option value="Tunisia" class=" ">Tunisia</option>
<option value="Turkey" class=" ">Turkey</option>
<option value="Turkmenistan" class=" ">Turkmenistan</option>
<option value="Tuvalu" class=" ">Tuvalu</option>
<option value="UAE" class=" ">UAE</option>
<option value="Uganda" class=" ">Uganda</option>
<option value="Ukraine" class=" ">Ukraine</option>
<option value="United Kingdom" class=" ">United Kingdom</option>
<option value="Uruguay" class=" ">Uruguay</option>
<option value="USA" class=" ">USA</option>
<option value="Uzbekistan" class=" ">Uzbekistan</option>
<option value="Vanuatu" class=" ">Vanuatu</option>
<option value="Venezuela" class=" ">Venezuela</option>
<option value="Vietnam" class=" ">Vietnam</option>
<option value="Yemen" class=" ">Yemen</option>
<option value="Zambia" class=" ">Zambia</option>
<option value="Zimbabwe" class=" ">Zimbabwe</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field33" data-index="7" style="width: 100%; display: none;" class="even form-element form-element-field33 options-false form-element-7 default-true form-element-type-dropdown is-required-false -handle state-hidden">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>State</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field33" name="field33" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="State" class=" ">State</option>
<option value="AL" class=" ">Alabama</option>
<option value="AK" class=" ">Alaska</option>
<option value="AZ" class=" ">Arizona</option>
<option value="AR" class=" ">Arkansas</option>
<option value="CA" class=" ">California</option>
<option value="CO" class=" ">Colorado</option>
<option value="CT" class=" ">Connecticut</option>
<option value="DE" class=" ">Delaware</option>
<option value="FL" class=" ">Florida</option>
<option value="GA" class=" ">Georgia</option>
<option value="HI" class=" ">Hawaii</option>
<option value="ID" class=" ">Idaho</option>
<option value="IL" class=" ">Illinois</option>
<option value="IN" class=" ">Indiana</option>
<option value="IA" class=" ">Iowa</option>
<option value="KS" class=" ">Kansas</option>
<option value="KY" class=" ">Kentucky</option>
<option value="LA" class=" ">Louisiana</option>
<option value="ME" class=" ">Maine</option>
<option value="MD" class=" ">Maryland</option>
<option value="MA" class=" ">Massachusetts</option>
<option value="MI" class=" ">Michigan</option>
<option value="MN" class=" ">Minnesota</option>
<option value="MS" class=" ">Mississippi</option>
<option value="MO" class=" ">Missouri</option>
<option value="MT" class=" ">Montana</option>
<option value="NE" class=" ">Nebraska</option>
<option value="NV" class=" ">Nevada</option>
<option value="NH" class=" ">New Hampshire</option>
<option value="NJ" class=" ">New Jersey</option>
<option value="NM" class=" ">New Mexico</option>
<option value="NY" class=" ">New York</option>
<option value="NC" class=" ">North Carolina</option>
<option value="ND" class=" ">North Dakota</option>
<option value="OH" class=" ">Ohio</option>
<option value="OK" class=" ">Oklahoma</option>
<option value="OR" class=" ">Oregon</option>
<option value="PA" class=" ">Pennsylvania</option>
<option value="RI" class=" ">Rhode Island</option>
<option value="SC" class=" ">South Carolina</option>
<option value="SD" class=" ">South Dakota</option>
<option value="TN" class=" ">Tennessee</option>
<option value="TX" class=" ">Texas</option>
<option value="UT" class=" ">Utah</option>
<option value="VT" class=" ">Vermont</option>
<option value="VA" class=" ">Virginia</option>
<option value="WA" class=" ">Washington</option>
<option value="WV" class=" ">West Virginia</option>
<option value="WI" class=" ">Wisconsin</option>
<option value="WY" class=" ">Wyoming</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field34" data-index="8" style="width: 100%; display: none;" class="form-element form-element-field34 options-false form-element-8 default-true form-element-type-oneLineText is-required-true odd -handle state-hidden">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>City</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="City" make-read-only="false" data-field-id="field34" name="field34[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field35" data-index="9" style="width: 100%; display: none;" class="even form-element form-element-field35 options-false form-element-9 default-true form-element-type-oneLineText is-required-true -handle state-hidden">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Postal Code</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="Postal Code" make-read-only="false" data-field-id="field35" name="field35[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field26" data-index="10" style="width: 100%" class=" form-element form-element-field26 options-false form-element-10 default-false form-element-type-checkbox is-required-true odd -handle">
<div class="form-element-html">
<div>
<div class="images- checkbox-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Which Products are You Interested In?</span></span><span class="sub-label"></span></span>
<div data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true" data-original-title=""><span class="error"></span><label style="width:"><img alt=""><input data-field-id="field26" type="radio"
data-is-required="true" name="field26[]" value="Protein Crystallization" class="validation-lenient"><span><span>Protein Crystallization</span></span></label><label style="width:"><img alt=""><input data-field-id="field26"
type="radio" data-is-required="true" name="field26[]" value="Liquid Handling" class="validation-lenient"><span><span>Liquid Handling</span></span></label><label style="width:"><img alt=""><input data-field-id="field26"
type="radio" data-is-required="true" name="field26[]" value="TFF" class="validation-lenient"><span><span>TFF</span></span></label></div>
</div>
</div>
</div>
</div>
<div data-identifier="field12" data-index="11" style="width: 100%" class=" even form-element form-element-field12 options-false form-element-11 default-false form-element-type-textarea is-required-false -handle">
<div class="form-element-html">
<div><label class="textarea-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Comments / Questions</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><textarea data-field-id="field12" placeholder="Comments / Questions" class="validation-lenient" name="field12" value="" rows="3" data-min-char="" data-max-char="" data-is-required="false"
data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title="" style="min-height: 91.4167px; overflow: hidden visible; overflow-wrap: break-word;"></textarea>
<div class="count-"><span class="current-count">0</span> / <span class="max-count "></span></div>
</div>
</label></div>
</div>
</div>
<div data-identifier="field14" data-index="12" style="width: 100%" class=" form-element form-element-field14 options-false form-element-12 default-false form-element-type-submit is-required-false odd -handle">
<div class="form-element-html">
<div>
<div class="align-center wide-true submit-cover field-cover"><button type="submit" class="button submit-button"><span class="text ">Submit Form</span><span
class="spin-cover"><i style="color:" class="loading-icon icon-cog animate-spin"></i></span></button></div>
<div class="submit-response "></div><label><input type="text" class="required_field" name="website" autocomplete="maple-syrup-pot" style="display: none;"></label>
</div>
</div>
</div>
</div>
</div><!-- end ngRepeat: page in Builder.FormElements track by $index -->
</form>
<form data-auto-scroll="" data-no-message-redirect="" data-thousand="" data-decimal="." data-delay="" data-id="1"
class="fc-form fc-form-1 align- save-form- dont-submit-hidden- disable-enter- label-placeholder field-border-visible frame-visible remove-asterisk-true icons-hide-true field-alignment-left align-left"
style="width: 600px; color: #666666; font-size: 100%; background: #ffffff">
<!-- ngRepeat: page in Builder.FormElements track by $index -->
<div class="form-page form-page-0 active" data-index="0">
<div class="form-page-content ng-not-empty">
<div data-identifier="field1" data-index="0" style="width: 100%" class=" form-element form-element-field1 options-false form-element-0 default-false form-element-type-heading is-required-false odd -handle">
<div class="form-element-html">
<div>
<div style="background-color: #ffffff" class="heading-cover field-cover ">
<div style="text-align: center; font-size: 1.7000000000000002em; padding-top: 20px; padding-bottom: 10px; color: #3f3f3f" class="bold-"><span>Request More Information</span></div><input type="hidden" data-field-id="field1"
name="field1[]" value="Request More Information">
</div>
</div>
</div>
</div>
<div data-identifier="field19" data-index="1" style="width: 100%" class=" even form-element form-element-field19 options-false form-element-1 default-false form-element-type-customText is-required-false -handle">
<div class="form-element-html">
<div>
<div class="absolute-false customText-cover field-cover" style="left: ; top: ;right: ;bottom: ;color: #f7a246 !important; background-color:">
<div class="full" style="text-align: left">
<p>All fields are required.</p>
</div><input type="hidden" name="field19" data-field-id="field19">
</div>
</div>
</div>
</div>
<div data-identifier="field2" data-index="2" style="width: 50%" class=" form-element form-element-field2 options-false form-element-2 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>First Name</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="First Name" make-read-only="" data-field-id="field2" name="field2[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="true" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field3" data-index="3" style="width: 50%" class=" even form-element form-element-field3 options-false form-element-3 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Last Name</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="Last Name" make-read-only="" data-field-id="field3" name="field3[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="true" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field4" data-index="4" style="width: 50%" class=" form-element form-element-field4 options-false form-element-4 default-false form-element-type-email is-required-true odd -handle">
<div class="form-element-html">
<div><label class="email-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Email</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input placeholder="Email" data-field-id="field4" type="text" data-val-type="email" make-read-only="" data-is-required="true" name="field4" class="validation-lenient" data-placement="right"
data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""><i class="formcraft-icon">email</i></div>
</label></div>
</div>
</div>
<div data-identifier="field27" data-index="5" style="width: 50%" class=" even form-element form-element-field27 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Phone #</span></span><span class="sub-label"><span>your full name</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Phone #" make-read-only="false" data-field-id="field27" name="field27[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field5" data-index="6" style="width: 50%" class=" form-element form-element-field5 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Company/Institute</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="Company/Institute" make-read-only="" data-field-id="field5" name="field5[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="true" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field9" data-index="7" style="width: 50%" class=" even form-element form-element-field9 options-false form-element-7 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>Country</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field9" name="field9" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Country</option>
<option value="Afghanistan" class=" ">Afghanistan</option>
<option value="Albania" class=" ">Albania</option>
<option value="Algeria" class=" ">Algeria</option>
<option value="Andorra" class=" ">Andorra</option>
<option value="Angola" class=" ">Angola</option>
<option value="Antigua and Barbuda" class=" ">Antigua and Barbuda</option>
<option value="Argentina" class=" ">Argentina</option>
<option value="Armenia" class=" ">Armenia</option>
<option value="Aruba" class=" ">Aruba</option>
<option value="Australia" class=" ">Australia</option>
<option value="Austria" class=" ">Austria</option>
<option value="Azerbaijan" class=" ">Azerbaijan</option>
<option value="Bahamas, The" class=" ">Bahamas, The</option>
<option value="Bahrain" class=" ">Bahrain</option>
<option value="Bangladesh" class=" ">Bangladesh</option>
<option value="Barbados" class=" ">Barbados</option>
<option value="Belarus" class=" ">Belarus</option>
<option value="Belgium" class=" ">Belgium</option>
<option value="Belize" class=" ">Belize</option>
<option value="Benin" class=" ">Benin</option>
<option value="Bhutan" class=" ">Bhutan</option>
<option value="Bolivia" class=" ">Bolivia</option>
<option value="Bos. & Herz." class=" ">Bos. & Herz.</option>
<option value="Botswana" class=" ">Botswana</option>
<option value="Brazil" class=" ">Brazil</option>
<option value="British Virgin Islands" class=" ">British Virgin Islands</option>
<option value="Brunei" class=" ">Brunei</option>
<option value="Bulgaria" class=" ">Bulgaria</option>
<option value="Burkina Faso" class=" ">Burkina Faso</option>
<option value="Burma" class=" ">Burma</option>
<option value="Burundi" class=" ">Burundi</option>
<option value="Cambodia" class=" ">Cambodia</option>
<option value="Cameroon" class=" ">Cameroon</option>
<option value="Canada" class=" ">Canada</option>
<option value="Cape Verde" class=" ">Cape Verde</option>
<option value="Central African Republic" class=" ">Central African Republic</option>
<option value="Chad" class=" ">Chad</option>
<option value="Chile" class=" ">Chile</option>
<option value="China" class=" ">China</option>
<option value="Colombia" class=" ">Colombia</option>
<option value="Comoros" class=" ">Comoros</option>
<option value="Congo, Democratic Republic of the" class=" ">Congo, Democratic Republic of the</option>
<option value="Congo, Republic of the" class=" ">Congo, Republic of the</option>
<option value="Costa Rica" class=" ">Costa Rica</option>
<option value="Cote d'Ivoire" class=" ">Cote d'Ivoire</option>
<option value="Croatia" class=" ">Croatia</option>
<option value="Cuba" class=" ">Cuba</option>
<option value="Curacao" class=" ">Curacao</option>
<option value="Cyprus" class=" ">Cyprus</option>
<option value="Czech Republic" class=" ">Czech Republic</option>
<option value="Denmark" class=" ">Denmark</option>
<option value="Djibouti" class=" ">Djibouti</option>
<option value="Dominica" class=" ">Dominica</option>
<option value="Dominican Republic" class=" ">Dominican Republic</option>
<option value="East Timor" class=" ">East Timor</option>
<option value="Ecuador" class=" ">Ecuador</option>
<option value="Egypt" class=" ">Egypt</option>
<option value="El Salvador" class=" ">El Salvador</option>
<option value="Equatorial Guinea" class=" ">Equatorial Guinea</option>
<option value="Eritrea" class=" ">Eritrea</option>
<option value="Estonia" class=" ">Estonia</option>
<option value="Ethiopia" class=" ">Ethiopia</option>
<option value="Faroe Islands" class=" ">Faroe Islands</option>
<option value="Fiji" class=" ">Fiji</option>
<option value="Finland" class=" ">Finland</option>
<option value="France" class=" ">France</option>
<option value="French Guiana" class=" ">French Guiana</option>
<option value="Gabon" class=" ">Gabon</option>
<option value="Gambia, The" class=" ">Gambia, The</option>
<option value="Georgia" class=" ">Georgia</option>
<option value="Germany" class=" ">Germany</option>
<option value="Ghana" class=" ">Ghana</option>
<option value="Greece" class=" ">Greece</option>
<option value="Grenada" class=" ">Grenada</option>
<option value="Guatemala" class=" ">Guatemala</option>
<option value="Guinea" class=" ">Guinea</option>
<option value="Guinea-Bissau" class=" ">Guinea-Bissau</option>
<option value="Guyana" class=" ">Guyana</option>
<option value="Haiti" class=" ">Haiti</option>
<option value="Holy See" class=" ">Holy See</option>
<option value="Honduras" class=" ">Honduras</option>
<option value="Hong Kong" class=" ">Hong Kong</option>
<option value="Hungary" class=" ">Hungary</option>
<option value="Iceland" class=" ">Iceland</option>
<option value="India" class=" ">India</option>
<option value="Indonesia" class=" ">Indonesia</option>
<option value="Iran" class=" ">Iran</option>
<option value="Iraq" class=" ">Iraq</option>
<option value="Ireland" class=" ">Ireland</option>
<option value="Israel" class=" ">Israel</option>
<option value="Italy" class=" ">Italy</option>
<option value="Jamaica" class=" ">Jamaica</option>
<option value="Japan" class=" ">Japan</option>
<option value="Jordan" class=" ">Jordan</option>
<option value="Kazakhstan" class=" ">Kazakhstan</option>
<option value="Kenya" class=" ">Kenya</option>
<option value="Kiribati" class=" ">Kiribati</option>
<option value="Kosovo" class=" ">Kosovo</option>
<option value="Kuwait" class=" ">Kuwait</option>
<option value="Kyrgyzstan" class=" ">Kyrgyzstan</option>
<option value="Laos" class=" ">Laos</option>
<option value="Latvia" class=" ">Latvia</option>
<option value="Lebanon" class=" ">Lebanon</option>
<option value="Lesotho" class=" ">Lesotho</option>
<option value="Liberia" class=" ">Liberia</option>
<option value="Libya" class=" ">Libya</option>
<option value="Liechtenstein" class=" ">Liechtenstein</option>
<option value="Lithuania" class=" ">Lithuania</option>
<option value="Luxembourg" class=" ">Luxembourg</option>
<option value="Macau" class=" ">Macau</option>
<option value="Macedonia" class=" ">Macedonia</option>
<option value="Madagascar" class=" ">Madagascar</option>
<option value="Malawi" class=" ">Malawi</option>
<option value="Malaysia" class=" ">Malaysia</option>
<option value="Maldives" class=" ">Maldives</option>
<option value="Mali" class=" ">Mali</option>
<option value="Malta" class=" ">Malta</option>
<option value="Marshall Islands" class=" ">Marshall Islands</option>
<option value="Mauritania" class=" ">Mauritania</option>
<option value="Mauritius" class=" ">Mauritius</option>
<option value="Mexico" class=" ">Mexico</option>
<option value="Micronesia" class=" ">Micronesia</option>
<option value="Moldova" class=" ">Moldova</option>
<option value="Monaco" class=" ">Monaco</option>
<option value="Mongolia" class=" ">Mongolia</option>
<option value="Montenegro" class=" ">Montenegro</option>
<option value="Morocco" class=" ">Morocco</option>
<option value="Mozambique" class=" ">Mozambique</option>
<option value="Namibia" class=" ">Namibia</option>
<option value="Nauru" class=" ">Nauru</option>
<option value="Nepal" class=" ">Nepal</option>
<option value="Netherlands Antilles" class=" ">Netherlands Antilles</option>
<option value="New Zealand" class=" ">New Zealand</option>
<option value="Nicaragua" class=" ">Nicaragua</option>
<option value="Niger" class=" ">Niger</option>
<option value="Nigeria" class=" ">Nigeria</option>
<option value="North England" class=" ">North England</option>
<option value="North Korea" class=" ">North Korea</option>
<option value="Norway" class=" ">Norway</option>
<option value="Oman" class=" ">Oman</option>
<option value="Pakistan" class=" ">Pakistan</option>
<option value="Palau" class=" ">Palau</option>
<option value="Palestine" class=" ">Palestine</option>
<option value="Palestinian Territories" class=" ">Palestinian Territories</option>
<option value="Panama" class=" ">Panama</option>
<option value="Papua New Guinea" class=" ">Papua New Guinea</option>
<option value="Paraguay" class=" ">Paraguay</option>
<option value="Peru" class=" ">Peru</option>
<option value="Philippines" class=" ">Philippines</option>
<option value="Poland" class=" ">Poland</option>
<option value="Portugal" class=" ">Portugal</option>
<option value="Puerto Rico" class=" ">Puerto Rico</option>
<option value="Qatar" class=" ">Qatar</option>
<option value="Romania" class=" ">Romania</option>
<option value="Russia" class=" ">Russia</option>
<option value="Rwanda" class=" ">Rwanda</option>
<option value="Saint Kitts and Nevis" class=" ">Saint Kitts and Nevis</option>
<option value="Saint Lucia" class=" ">Saint Lucia</option>
<option value="Saint Vincent and the Grenadines" class=" ">Saint Vincent and the Grenadines</option>
<option value="Samoa" class=" ">Samoa</option>
<option value="San Marino" class=" ">San Marino</option>
<option value="Sao Tome and Principe" class=" ">Sao Tome and Principe</option>
<option value="Saudi Arabia" class=" ">Saudi Arabia</option>
<option value="Senegal" class=" ">Senegal</option>
<option value="Serbia" class=" ">Serbia</option>
<option value="Seychelles" class=" ">Seychelles</option>
<option value="Sierra Leone" class=" ">Sierra Leone</option>
<option value="Singapore" class=" ">Singapore</option>
<option value="Sint Maarten" class=" ">Sint Maarten</option>
<option value="Slovakia" class=" ">Slovakia</option>
<option value="Slovenia" class=" ">Slovenia</option>
<option value="Solomon Islands" class=" ">Solomon Islands</option>
<option value="Somalia" class=" ">Somalia</option>
<option value="South Africa" class=" ">South Africa</option>
<option value="South Korea" class=" ">South Korea</option>
<option value="South Sudan" class=" ">South Sudan</option>
<option value="Spain" class=" ">Spain</option>
<option value="Sri Lanka" class=" ">Sri Lanka</option>
<option value="Sudan" class=" ">Sudan</option>
<option value="Suriname" class=" ">Suriname</option>
<option value="Swaziland" class=" ">Swaziland</option>
<option value="Sweden" class=" ">Sweden</option>
<option value="Switzerland" class=" ">Switzerland</option>
<option value="Syria" class=" ">Syria</option>
<option value="Taiwan" class=" ">Taiwan</option>
<option value="Tajikistan" class=" ">Tajikistan</option>
<option value="Tanzania" class=" ">Tanzania</option>
<option value="Thailand" class=" ">Thailand</option>
<option value="The Netherlands" class=" ">The Netherlands</option>
<option value="Timor-Leste" class=" ">Timor-Leste</option>
<option value="Togo" class=" ">Togo</option>
<option value="Tonga" class=" ">Tonga</option>
<option value="Trinidad and Tobago" class=" ">Trinidad and Tobago</option>
<option value="Tunisia" class=" ">Tunisia</option>
<option value="Turkey" class=" ">Turkey</option>
<option value="Turkmenistan" class=" ">Turkmenistan</option>
<option value="Tuvalu" class=" ">Tuvalu</option>
<option value="UAE" class=" ">UAE</option>
<option value="Uganda" class=" ">Uganda</option>
<option value="Ukraine" class=" ">Ukraine</option>
<option value="United Kingdom" class=" ">United Kingdom</option>
<option value="Uruguay" class=" ">Uruguay</option>
<option value="USA" class=" ">USA</option>
<option value="Uzbekistan" class=" ">Uzbekistan</option>
<option value="Vanuatu" class=" ">Vanuatu</option>
<option value="Venezuela" class=" ">Venezuela</option>
<option value="Vietnam" class=" ">Vietnam</option>
<option value="Yemen" class=" ">Yemen</option>
<option value="Zambia" class=" ">Zambia</option>
<option value="Zimbabwe" class=" ">Zimbabwe</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field7" data-index="8" style="width: 100%; display: none;" class="form-element form-element-field7 options-false form-element-8 default-true form-element-type-dropdown is-required-true odd -handle state-hidden">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>State</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field7" name="field7" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">State</option>
<option value="AL" class=" ">Alabama</option>
<option value="AK" class=" ">Alaska</option>
<option value="AZ" class=" ">Arizona</option>
<option value="AR" class=" ">Arkansas</option>
<option value="CA" class=" ">California</option>
<option value="CO" class=" ">Colorado</option>
<option value="CT" class=" ">Connecticut</option>
<option value="DE" class=" ">Delaware</option>
<option value="FL" class=" ">Florida</option>
<option value="GA" class=" ">Georgia</option>
<option value="HI" class=" ">Hawaii</option>
<option value="ID" class=" ">Idaho</option>
<option value="IL" class=" ">Illinois</option>
<option value="IN" class=" ">Indiana</option>
<option value="IA" class=" ">Iowa</option>
<option value="KS" class=" ">Kansas</option>
<option value="KY" class=" ">Kentucky</option>
<option value="LA" class=" ">Louisiana</option>
<option value="ME" class=" ">Maine</option>
<option value="MD" class=" ">Maryland</option>
<option value="MA" class=" ">Massachusetts</option>
<option value="MI" class=" ">Michigan</option>
<option value="MN" class=" ">Minnesota</option>
<option value="MS" class=" ">Mississippi</option>
<option value="MO" class=" ">Missouri</option>
<option value="MT" class=" ">Montana</option>
<option value="NE" class=" ">Nebraska</option>
<option value="NV" class=" ">Nevada</option>
<option value="NH" class=" ">New Hampshire</option>
<option value="NJ" class=" ">New Jersey</option>
<option value="NM" class=" ">New Mexico</option>
<option value="NY" class=" ">New York</option>
<option value="NC" class=" ">North Carolina</option>
<option value="ND" class=" ">North Dakota</option>
<option value="OH" class=" ">Ohio</option>
<option value="OK" class=" ">Oklahoma</option>
<option value="OR" class=" ">Oregon</option>
<option value="PA" class=" ">Pennsylvania</option>
<option value="RI" class=" ">Rhode Island</option>
<option value="SC" class=" ">South Carolina</option>
<option value="SD" class=" ">South Dakota</option>
<option value="TN" class=" ">Tennessee</option>
<option value="TX" class=" ">Texas</option>
<option value="UT" class=" ">Utah</option>
<option value="VT" class=" ">Vermont</option>
<option value="VA" class=" ">Virginia</option>
<option value="WA" class=" ">Washington</option>
<option value="WV" class=" ">West Virginia</option>
<option value="WI" class=" ">Wisconsin</option>
<option value="WY" class=" ">Wyoming</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field28" data-index="9" style="width: 100%; display: none;" class="even form-element form-element-field28 options-false form-element-9 default-true form-element-type-oneLineText is-required-true -handle state-hidden">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>City</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="City" make-read-only="false" data-field-id="field28" name="field28[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field30" data-index="10" style="width: 100%; display: none;" class="form-element form-element-field30 options-false form-element-10 default-true form-element-type-oneLineText is-required-true odd -handle state-hidden">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Postal Code</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="Postal Code" make-read-only="false" data-field-id="field30" name="field30[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field10" data-index="11" style="width: 100%" class=" even form-element form-element-field10 options-false form-element-11 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>How did you hear about us?</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field10" name="field10" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">How did you hear about us?</option>
<option value="Social Media" class=" ">Social Media</option>
<option value="Internet Search" class=" ">Internet Search</option>
<option value="Trade Show" class=" ">Trade Show</option>
<option value="Digital Ad" class=" ">Digital Ad</option>
<option value="Email Campaign" class=" ">Email Campaign</option>
<option value="Sales Call" class=" ">Sales Call</option>
<option value="Word of Mouth" class=" ">Word of Mouth</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field11" data-index="12" style="width: 100%" class=" form-element form-element-field11 form-element-12 default-false form-element-type-checkbox is-required-false odd -handle options-false">
<div class="form-element-html">
<div>
<div class="images-false checkbox-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Select Product Interest</span></span><span class="sub-label"></span></span>
<div data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true" data-original-title=""><span class="error"></span><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox"
data-is-required="false" name="field11[]" value="ROCK MAKER®" class="validation-lenient"><span><span>ROCK MAKER®</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox"
data-is-required="false" name="field11[]" value="ROCK MAKER® WEB" class="validation-lenient"><span><span>ROCK MAKER® WEB</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox"
data-is-required="false" name="field11[]" value="ROCK IMAGER 1000®" class="validation-lenient"><span><span>ROCK IMAGER 1000®</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox"
data-is-required="false" name="field11[]" value="ROCK IMAGER 182®" class="validation-lenient"><span><span>ROCK IMAGER 182®</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox"
data-is-required="false" name="field11[]" value="ROCK IMAGER 54®" class="validation-lenient"><span><span>ROCK IMAGER 54®</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox"
data-is-required="false" name="field11[]" value="ROCK IMAGER 2®" class="validation-lenient"><span><span>ROCK IMAGER 2®</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox"
data-is-required="false" name="field11[]" value="ROCK IMAGER 1®" class="validation-lenient"><span><span>ROCK IMAGER 1®</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox"
data-is-required="false" name="field11[]" value="UV Imaging" class="validation-lenient"><span><span>UV Imaging</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox"
data-is-required="false" name="field11[]" value="Multi-Fluorescence Imaging" class="validation-lenient"><span><span>Multi-Fluorescence Imaging</span></span></label><label style="width:"><img alt=""><input data-field-id="field11"
type="checkbox" data-is-required="false" name="field11[]" value="SONICC®" class="validation-lenient"><span><span>SONICC®</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox"
data-is-required="false" name="field11[]" value="FRAP" class="validation-lenient"><span><span>FRAP</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox" data-is-required="false"
name="field11[]" value="MUVIS®" class="validation-lenient"><span><span>MUVIS®</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox" data-is-required="false" name="field11[]"
value="NT8®" class="validation-lenient"><span><span>NT8®</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox" data-is-required="false" name="field11[]" value="FORMULATOR®"
class="validation-lenient"><span><span>FORMULATOR®</span></span></label><label style="width:"><img alt=""><input data-field-id="field11" type="checkbox" data-is-required="false" name="field11[]" value="ROVER"
class="validation-lenient"><span><span>ROVER</span></span></label></div>
</div>
</div>
</div>
</div>
<div data-identifier="field12" data-index="13" style="width: 100%" class=" even form-element form-element-field12 form-element-13 default-false form-element-type-textarea is-required-true -handle options-false">
<div class="form-element-html">
<div><label class="textarea-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Comments / Questions</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><textarea data-field-id="field12" placeholder="Comments / Questions" class="validation-lenient" name="field12" value="" rows="3" data-min-char="" data-max-char="" data-is-required="true"
data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title="" style="min-height: 74.3594px; overflow: hidden visible; overflow-wrap: break-word;"></textarea>
<div class="count-"><span class="current-count">0</span> / <span class="max-count "></span></div>
</div>
</label></div>
</div>
</div>
<div data-identifier="field14" data-index="14" style="width: 100%" class=" form-element form-element-field14 options-false form-element-14 default-false form-element-type-submit is-required-false odd -handle">
<div class="form-element-html">
<div>
<div class="align-center wide-true submit-cover field-cover"><button type="submit" class="button submit-button"><span class="text ">Submit Form</span><span
class="spin-cover"><i style="color:" class="loading-icon icon-cog animate-spin"></i></span></button></div>
<div class="submit-response "></div><label><input type="text" class="required_field" name="website" autocomplete="maple-syrup-pot" style="display: none;"></label>
</div>
</div>
</div>
</div>
</div><!-- end ngRepeat: page in Builder.FormElements track by $index -->
</form>
<form data-auto-scroll="" data-no-message-redirect="" data-thousand="" data-decimal="." data-delay="" data-id="8"
class="fc-form fc-form-8 align- save-form- dont-submit-hidden- disable-enter- label-placeholder field-border-visible frame-visible remove-asterisk-true icons-hide-true field-alignment-left align-left"
style="width: 600px; color: #666666; font-size: 100%; background: #ffffff">
<!-- ngRepeat: page in Builder.FormElements track by $index -->
<div class="form-page form-page-0 active" data-index="0">
<div class="form-page-content ng-not-empty">
<div data-identifier="field1" data-index="0" style="width: 100%" class=" form-element form-element-field1 options-false form-element-0 default-false form-element-type-heading is-required-false odd -handle">
<div class="form-element-html">
<div>
<div style="background-color: #ffffff" class="heading-cover field-cover ">
<div style="text-align: center; font-size: 1.7000000000000002em; padding-top: 20px; padding-bottom: 10px; color: #3f3f3f" class="bold-"><span>Request a Virtual Demo</span></div><input type="hidden" data-field-id="field1" name="field1[]"
value="Request a Virtual Demo">
</div>
</div>
</div>
</div>
<div data-identifier="field19" data-index="1" style="width: 100%" class=" even form-element form-element-field19 options-false form-element-1 default-false form-element-type-customText is-required-false -handle">
<div class="form-element-html">
<div>
<div class="absolute-false customText-cover field-cover" style="left: ; top: ;right: ;bottom: ;color: #f89724 !important; background-color:">
<div class="full" style="text-align: left">
<p>All fields are required.</p>
</div><input type="hidden" name="field19" data-field-id="field19">
</div>
</div>
</div>
</div>
<div data-identifier="field2" data-index="2" style="width: 50%" class=" form-element form-element-field2 options-false form-element-2 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>First Name</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="First Name" make-read-only="" data-field-id="field2" name="field2[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="true" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field3" data-index="3" style="width: 50%" class=" even form-element form-element-field3 options-false form-element-3 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Last Name</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="Last Name" make-read-only="" data-field-id="field3" name="field3[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="true" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field4" data-index="4" style="width: 100%" class=" form-element form-element-field4 options-false form-element-4 default-false form-element-type-email is-required-true odd -handle">
<div class="form-element-html">
<div><label class="email-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Email</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input placeholder="Email" data-field-id="field4" type="text" data-val-type="email" make-read-only="" data-is-required="true" name="field4" class="validation-lenient" data-placement="right"
data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""><i class="formcraft-icon">email</i></div>
</label></div>
</div>
</div>
<div data-identifier="field21" data-index="5" style="width: 50%" class=" even form-element form-element-field21 options-false form-element-5 default-false form-element-type-oneLineText is-required-false -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Phone</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="Phone" make-read-only="" data-field-id="field21" name="field21[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="true" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field22" data-index="6" style="width: 50%" class=" form-element form-element-field22 options-false form-element-6 default-false form-element-type-oneLineText is-required-false odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-false"><span class="main-label"><span>Company/Institute</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="Company/Institute" make-read-only="" data-field-id="field22" name="field22[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="true" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field23" data-index="7" style="width: 100%" class=" even form-element form-element-field23 options-false form-element-7 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>Country</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field23" name="field23" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Country</option>
<option value="Afghanistan" class=" ">Afghanistan</option>
<option value="Albania" class=" ">Albania</option>
<option value="Algeria" class=" ">Algeria</option>
<option value="Andorra" class=" ">Andorra</option>
<option value="Angola" class=" ">Angola</option>
<option value="Antigua and Barbuda" class=" ">Antigua and Barbuda</option>
<option value="Argentina" class=" ">Argentina</option>
<option value="Armenia" class=" ">Armenia</option>
<option value="Aruba" class=" ">Aruba</option>
<option value="Australia" class=" ">Australia</option>
<option value="Austria" class=" ">Austria</option>
<option value="Azerbaijan" class=" ">Azerbaijan</option>
<option value="Bahamas, The" class=" ">Bahamas, The</option>
<option value="Bahrain" class=" ">Bahrain</option>
<option value="Bangladesh" class=" ">Bangladesh</option>
<option value="Barbados" class=" ">Barbados</option>
<option value="Belarus" class=" ">Belarus</option>
<option value="Belgium" class=" ">Belgium</option>
<option value="Belize" class=" ">Belize</option>
<option value="Benin" class=" ">Benin</option>
<option value="Bhutan" class=" ">Bhutan</option>
<option value="Bolivia" class=" ">Bolivia</option>
<option value="Bos. & Herz." class=" ">Bos. & Herz.</option>
<option value="Botswana" class=" ">Botswana</option>
<option value="Brazil" class=" ">Brazil</option>
<option value="British Virgin Islands" class=" ">British Virgin Islands</option>
<option value="Brunei" class=" ">Brunei</option>
<option value="Bulgaria" class=" ">Bulgaria</option>
<option value="Burkina Faso" class=" ">Burkina Faso</option>
<option value="Burma" class=" ">Burma</option>
<option value="Burundi" class=" ">Burundi</option>
<option value="Cambodia" class=" ">Cambodia</option>
<option value="Cameroon" class=" ">Cameroon</option>
<option value="Canada" class=" ">Canada</option>
<option value="Cape Verde" class=" ">Cape Verde</option>
<option value="Central African Republic" class=" ">Central African Republic</option>
<option value="Chad" class=" ">Chad</option>
<option value="Chile" class=" ">Chile</option>
<option value="China" class=" ">China</option>
<option value="Colombia" class=" ">Colombia</option>
<option value="Comoros" class=" ">Comoros</option>
<option value="Congo, Democratic Republic of the" class=" ">Congo, Democratic Republic of the</option>
<option value="Congo, Republic of the" class=" ">Congo, Republic of the</option>
<option value="Costa Rica" class=" ">Costa Rica</option>
<option value="Cote d'Ivoire" class=" ">Cote d'Ivoire</option>
<option value="Croatia" class=" ">Croatia</option>
<option value="Cuba" class=" ">Cuba</option>
<option value="Curacao" class=" ">Curacao</option>
<option value="Cyprus" class=" ">Cyprus</option>
<option value="Czech Republic" class=" ">Czech Republic</option>
<option value="Denmark" class=" ">Denmark</option>
<option value="Djibouti" class=" ">Djibouti</option>
<option value="Dominica" class=" ">Dominica</option>
<option value="Dominican Republic" class=" ">Dominican Republic</option>
<option value="East Timor" class=" ">East Timor</option>
<option value="Ecuador" class=" ">Ecuador</option>
<option value="Egypt" class=" ">Egypt</option>
<option value="El Salvador" class=" ">El Salvador</option>
<option value="Equatorial Guinea" class=" ">Equatorial Guinea</option>
<option value="Eritrea" class=" ">Eritrea</option>
<option value="Estonia" class=" ">Estonia</option>
<option value="Ethiopia" class=" ">Ethiopia</option>
<option value="Faroe Islands" class=" ">Faroe Islands</option>
<option value="Fiji" class=" ">Fiji</option>
<option value="Finland" class=" ">Finland</option>
<option value="France" class=" ">France</option>
<option value="French Guiana" class=" ">French Guiana</option>
<option value="Gabon" class=" ">Gabon</option>
<option value="Gambia, The" class=" ">Gambia, The</option>
<option value="Georgia" class=" ">Georgia</option>
<option value="Germany" class=" ">Germany</option>
<option value="Ghana" class=" ">Ghana</option>
<option value="Greece" class=" ">Greece</option>
<option value="Grenada" class=" ">Grenada</option>
<option value="Guatemala" class=" ">Guatemala</option>
<option value="Guinea" class=" ">Guinea</option>
<option value="Guinea-Bissau" class=" ">Guinea-Bissau</option>
<option value="Guyana" class=" ">Guyana</option>
<option value="Haiti" class=" ">Haiti</option>
<option value="Holy See" class=" ">Holy See</option>
<option value="Honduras" class=" ">Honduras</option>
<option value="Hong Kong" class=" ">Hong Kong</option>
<option value="Hungary" class=" ">Hungary</option>
<option value="Iceland" class=" ">Iceland</option>
<option value="India" class=" ">India</option>
<option value="Indonesia" class=" ">Indonesia</option>
<option value="Iran" class=" ">Iran</option>
<option value="Iraq" class=" ">Iraq</option>
<option value="Ireland" class=" ">Ireland</option>
<option value="Israel" class=" ">Israel</option>
<option value="Italy" class=" ">Italy</option>
<option value="Jamaica" class=" ">Jamaica</option>
<option value="Japan" class=" ">Japan</option>
<option value="Jordan" class=" ">Jordan</option>
<option value="Kazakhstan" class=" ">Kazakhstan</option>
<option value="Kenya" class=" ">Kenya</option>
<option value="Kiribati" class=" ">Kiribati</option>
<option value="Kosovo" class=" ">Kosovo</option>
<option value="Kuwait" class=" ">Kuwait</option>
<option value="Kyrgyzstan" class=" ">Kyrgyzstan</option>
<option value="Laos" class=" ">Laos</option>
<option value="Latvia" class=" ">Latvia</option>
<option value="Lebanon" class=" ">Lebanon</option>
<option value="Lesotho" class=" ">Lesotho</option>
<option value="Liberia" class=" ">Liberia</option>
<option value="Libya" class=" ">Libya</option>
<option value="Liechtenstein" class=" ">Liechtenstein</option>
<option value="Lithuania" class=" ">Lithuania</option>
<option value="Luxembourg" class=" ">Luxembourg</option>
<option value="Macau" class=" ">Macau</option>
<option value="Macedonia" class=" ">Macedonia</option>
<option value="Madagascar" class=" ">Madagascar</option>
<option value="Malawi" class=" ">Malawi</option>
<option value="Malaysia" class=" ">Malaysia</option>
<option value="Maldives" class=" ">Maldives</option>
<option value="Mali" class=" ">Mali</option>
<option value="Malta" class=" ">Malta</option>
<option value="Marshall Islands" class=" ">Marshall Islands</option>
<option value="Mauritania" class=" ">Mauritania</option>
<option value="Mauritius" class=" ">Mauritius</option>
<option value="Mexico" class=" ">Mexico</option>
<option value="Micronesia" class=" ">Micronesia</option>
<option value="Moldova" class=" ">Moldova</option>
<option value="Monaco" class=" ">Monaco</option>
<option value="Mongolia" class=" ">Mongolia</option>
<option value="Montenegro" class=" ">Montenegro</option>
<option value="Morocco" class=" ">Morocco</option>
<option value="Mozambique" class=" ">Mozambique</option>
<option value="Namibia" class=" ">Namibia</option>
<option value="Nauru" class=" ">Nauru</option>
<option value="Nepal" class=" ">Nepal</option>
<option value="Netherlands Antilles" class=" ">Netherlands Antilles</option>
<option value="New Zealand" class=" ">New Zealand</option>
<option value="Nicaragua" class=" ">Nicaragua</option>
<option value="Niger" class=" ">Niger</option>
<option value="Nigeria" class=" ">Nigeria</option>
<option value="North England" class=" ">North England</option>
<option value="North Korea" class=" ">North Korea</option>
<option value="Norway" class=" ">Norway</option>
<option value="Oman" class=" ">Oman</option>
<option value="Pakistan" class=" ">Pakistan</option>
<option value="Palau" class=" ">Palau</option>
<option value="Palestine" class=" ">Palestine</option>
<option value="Palestinian Territories" class=" ">Palestinian Territories</option>
<option value="Panama" class=" ">Panama</option>
<option value="Papua New Guinea" class=" ">Papua New Guinea</option>
<option value="Paraguay" class=" ">Paraguay</option>
<option value="Peru" class=" ">Peru</option>
<option value="Philippines" class=" ">Philippines</option>
<option value="Poland" class=" ">Poland</option>
<option value="Portugal" class=" ">Portugal</option>
<option value="Puerto Rico" class=" ">Puerto Rico</option>
<option value="Qatar" class=" ">Qatar</option>
<option value="Romania" class=" ">Romania</option>
<option value="Russia" class=" ">Russia</option>
<option value="Rwanda" class=" ">Rwanda</option>
<option value="Saint Kitts and Nevis" class=" ">Saint Kitts and Nevis</option>
<option value="Saint Lucia" class=" ">Saint Lucia</option>
<option value="Saint Vincent and the Grenadines" class=" ">Saint Vincent and the Grenadines</option>
<option value="Samoa" class=" ">Samoa</option>
<option value="San Marino" class=" ">San Marino</option>
<option value="Sao Tome and Principe" class=" ">Sao Tome and Principe</option>
<option value="Saudi Arabia" class=" ">Saudi Arabia</option>
<option value="Senegal" class=" ">Senegal</option>
<option value="Serbia" class=" ">Serbia</option>
<option value="Seychelles" class=" ">Seychelles</option>
<option value="Sierra Leone" class=" ">Sierra Leone</option>
<option value="Singapore" class=" ">Singapore</option>
<option value="Sint Maarten" class=" ">Sint Maarten</option>
<option value="Slovakia" class=" ">Slovakia</option>
<option value="Slovenia" class=" ">Slovenia</option>
<option value="Solomon Islands" class=" ">Solomon Islands</option>
<option value="Somalia" class=" ">Somalia</option>
<option value="South Africa" class=" ">South Africa</option>
<option value="South Korea" class=" ">South Korea</option>
<option value="South Sudan" class=" ">South Sudan</option>
<option value="Spain" class=" ">Spain</option>
<option value="Sri Lanka" class=" ">Sri Lanka</option>
<option value="Sudan" class=" ">Sudan</option>
<option value="Suriname" class=" ">Suriname</option>
<option value="Swaziland" class=" ">Swaziland</option>
<option value="Sweden" class=" ">Sweden</option>
<option value="Switzerland" class=" ">Switzerland</option>
<option value="Syria" class=" ">Syria</option>
<option value="Taiwan" class=" ">Taiwan</option>
<option value="Tajikistan" class=" ">Tajikistan</option>
<option value="Tanzania" class=" ">Tanzania</option>
<option value="Thailand" class=" ">Thailand</option>
<option value="The Netherlands" class=" ">The Netherlands</option>
<option value="Timor-Leste" class=" ">Timor-Leste</option>
<option value="Togo" class=" ">Togo</option>
<option value="Tonga" class=" ">Tonga</option>
<option value="Trinidad and Tobago" class=" ">Trinidad and Tobago</option>
<option value="Tunisia" class=" ">Tunisia</option>
<option value="Turkey" class=" ">Turkey</option>
<option value="Turkmenistan" class=" ">Turkmenistan</option>
<option value="Tuvalu" class=" ">Tuvalu</option>
<option value="UAE" class=" ">UAE</option>
<option value="Uganda" class=" ">Uganda</option>
<option value="Ukraine" class=" ">Ukraine</option>
<option value="United Kingdom" class=" ">United Kingdom</option>
<option value="Uruguay" class=" ">Uruguay</option>
<option value="USA" class=" ">USA</option>
<option value="Uzbekistan" class=" ">Uzbekistan</option>
<option value="Vanuatu" class=" ">Vanuatu</option>
<option value="Venezuela" class=" ">Venezuela</option>
<option value="Vietnam" class=" ">Vietnam</option>
<option value="Yemen" class=" ">Yemen</option>
<option value="Zambia" class=" ">Zambia</option>
<option value="Zimbabwe" class=" ">Zimbabwe</option>
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<option value="NH" class=" ">New Hampshire</option>
<option value="NJ" class=" ">New Jersey</option>
<option value="NM" class=" ">New Mexico</option>
<option value="NY" class=" ">New York</option>
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<option value="ND" class=" ">North Dakota</option>
<option value="OH" class=" ">Ohio</option>
<option value="OK" class=" ">Oklahoma</option>
<option value="OR" class=" ">Oregon</option>
<option value="PA" class=" ">Pennsylvania</option>
<option value="RI" class=" ">Rhode Island</option>
<option value="SC" class=" ">South Carolina</option>
<option value="SD" class=" ">South Dakota</option>
<option value="TN" class=" ">Tennessee</option>
<option value="TX" class=" ">Texas</option>
<option value="UT" class=" ">Utah</option>
<option value="VT" class=" ">Vermont</option>
<option value="VA" class=" ">Virginia</option>
<option value="WA" class=" ">Washington</option>
<option value="WV" class=" ">West Virginia</option>
<option value="WI" class=" ">Wisconsin</option>
<option value="WY" class=" ">Wyoming</option>
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Accept Decline Skip to content * Applications * COVID-19 Testing Workflows * Protein Crystallization * Lipidic Cubic Phase * Next Generation Sequencing * qPCR * Assay Development and Optimization * High-throughput Screening * Cell-based Assays * AlphaLISA®/Immunoassays * Products * Protein Crystallization * ROCK MAKER® – Crystallization Software * NT8® – Drop Setter * FORMULATOR® – Screen Builder * ROCK IMAGER® – Crystallization Imager * SONICC® – Protein Crystal Detection * FRAP – Prescreen LCP Conditions * MUVIS® – Manual UV Inspection Station * Liquid Handling * MANTIS® – Precise Liquid Dispenser * TEMPEST® – Bulk Liquid Dispenser * F.A.S.T.™ – Positive Displacement Sample Transfer * FLO i8® – Liquid Handler * ROVER™ – Laboratory Automation * Filtration * μPULSE® – TFF Sample Concentration, Buffer Exchange * Innovations * Liquid Handling Technology * Microfluidic Pumps * Plate-based Digital PCR * Visible Light Imaging * Ultraviolet Imaging * Multi-Fluorescence Imaging * SONICC® * FRAP * About * History * Corporate Profile * Letter from CEO * Trademarks * Contact Us * Resources * News and Updates * Events * MANTIS ROI Calculator * Online Help * Careers * United States * Europe * China * Pakistan * Indonesia * Japan * Contact * Support * Shop Search Close LIQUID HANDLING TECHNOLOGY LIQUID HANDLING TECHNOLOGY INTELLIGENT PIPETTING FROM FORMULATRIX® * ROVER™ Laboratory Automation Platform * Liquid Handling Technology * Request Info MACHINE VISION The worlds first deck-free automated liquid handling platform employs cameras to simplify integration, removing the need to teach instrument and plate locations. AUTOMATED LIQUID TRANSFER OPTIMIZATION Video Player https://formulatrix.com/wp-content/uploads/2018/02/ALTO.mp4 00:00 00:00 00:15 Use Up/Down Arrow keys to increase or decrease volume. With time-consuming liquid class optimization, liquid handlers have been transferring liquids of varying viscosities and surface tensions for years. Finally, FORMULATRIX® has developed a liquid handler that optimizes liquid transfers automatically. Integrated pressure sensors in each pipetting channel independently monitor the aspiration and dispensing of samples and reagents, and react in real time to reproducibly pipette liquids of any viscosity and surface tension. The algorithms embedded in the FLO I8 Liquid Handler uses this input to dynamically adjust pipetting parameters to achieve reproducible sample preparation. Pipetting accuracy and precision are guaranteed without user adjustment of pipetting flow rate, equilibration time, or offsets for various liquid classes. DYNAMIC LIQUID LEVEL DETECTION AND TRACKING The FLO I8 Liquid Handler takes liquid level detection and tracking to the next level with sensors that enable dynamic liquid level tracking without prior definition of labware well profiles. Scientists can focus on their experiments instead of programming complex parameters. Protocols can be designed quickly and easily, making the FLO I8 a viable replacement for manual pipettes as the tool of choice for simple liquid handling tasks like a serial dilution of 1-8 samples. Video Player https://formulatrix.com/wp-content/uploads/2018/02/Liquid-Level-Tracking.mp4 00:00 00:00 00:08 Use Up/Down Arrow keys to increase or decrease volume. THE FIRST LIQUID HANDLER WITH THE SENSE OF TOUCH Video Player https://formulatrix.com/wp-content/uploads/2018/02/Touch.mp4 00:00 00:00 00:10 Use Up/Down Arrow keys to increase or decrease volume. Before dispensing into an empty plate, tip touch sensors detect the bottom or sides of the well in order to enable researchers to use any SBS footprint microtiter plate without programming the dimensions of the labware. The pipette touch sensors also facilitate best-in-class error management and safety by detecting collisions with obstructions and halting motion before causing damage. Researchers can simply remove the obstruction and the FLO I8 will continue from where it left off. The FLO I8 touch sensor can detect a collision with only 30 grams of force and the position of the pipette tip is repeatable to within 50 microns. FLO I8 Liquid Handler ROVER Laboratory Automation To Learn More About This Technology, Contact Us! Tell Us About Your Project PRODUCTS Protein Crystallization Liquid Handling Filtration RESOURCES News and Updates Events MANTIS ROI Calculator Online Help DISCOVER About Us Careers Corporate Profile Support CONTACT Ph: +1 781-788-0228 Fax: +1 781-207-5522 Email: info@formulatrix.com 10 DeAngelo Drive, Bedford, MA 01730, United States © 2022 FORMULATRIX. All Rights Reserved. | Privacy Policy | Cookie Policy Scroll To Top Notifications × 1 Request More Information All fields are required. 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First Name Last Name Email email Phone Company/Institute Country CountryAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBos. & Herz.BotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench GuianaGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlands AntillesNew ZealandNicaraguaNigerNigeriaNorth EnglandNorth KoreaNorwayOmanPakistanPalauPalestinePalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandThe NetherlandsTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUAEUgandaUkraineUnited KingdomUruguayUSAUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe State StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming City Postal Code Comments / Questions 0 / Submit Form keyboard_arrow_leftPrevious Nextkeyboard_arrow_right