CytoZyme® Stabilized Pepsin -- Sample Request

Complete this form to request a complimentary sample of CytoZyme Stabilized Pepsin with CytoZyme Reaction Buffer.
A SciGene Technical Representative will contact you soon.

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* 1. Please provide your U.S. shipping address for sending samples:

Name: *

Organization: *

Address: *

Address 2:

City: *

State:

Postal Code:

Email Address: *

Phone Number: *

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* 2. What is your job title?

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* 3. Who is your lab manager or supervisor?

Manager Name:

Manager Title:

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* 4. How many Urovysion samples are processed each week for FISH analysis?

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* 5. How many tissue samples are processed each week for FISH analysis?

Breast (HER-2)

Lung (ALK)

Other

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* 6. Does your lab use a sodium thiocyanate (NaSCN) pretreatment step?

Yes

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* 7. Does your lab pretreat tissues manually using Coplin jars in waterbaths?

Yes

If yes, how many setups per week?

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* 8. Does your lab use a VP2000 for tissue pretreatment?

Yes

Don't Know

If so, how many runs per week?

Question Title

* 1. Please provide your U.S. shipping address for sending samples:

Question Title

* 2. What is your job title?

Question Title

* 3. Who is your lab manager or supervisor?

Question Title

* 4. How many Urovysion samples are processed each week for FISH analysis?

Question Title

* 5. How many tissue samples are processed each week for FISH analysis?

Question Title

* 6. Does your lab use a sodium thiocyanate (NaSCN) pretreatment step?

Question Title

* 7. Does your lab pretreat tissues manually using Coplin jars in waterbaths?

Question Title

* 8. Does your lab use a VP2000 for tissue pretreatment?

Question Title

* 9. Any additional comments or questions?