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Pre-packed Column RFQ Form
Company
First name
Last name
Address
Phone
Email
Qty
Column Type
Column Bed Diameter (mm)
Bed Height (mm)
Resin
Estimated Resin Ship Date (only if customer supplied)
Requested Column Delivery Date
Test Method
*
UV (standard)
Conductivity (not availabale for 25mm bore and up)
Other Testing Method Requirements (Please Explain Below)
Mobile Phase or Test Component Specifications
*
0.1N NaCI Mobile Phase and Uracil (standard)
Other Mobile Phase or Test Component Specifications (Please Explain Below)
Shipping Requirements
*
PBS/20% Ethanol (Standard)
0.1N NaOH
Other Shipping Requirements (Please Explain Below)
Flow Rate/Dwell Time Specifications
Asymmetry Speifications
Additional Wash or Sanitization
Tubing and/or Packaging Requirements
Additional Report Requirements
Submit
Thank you! Your form has been submitted.
FOR INTERNAL USE ONLY
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