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MicroFISH Assay System

Please fill out the fields below to receive information on the NEW MicroFISH Assay System from SciGene.

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* 1. Please provide your contact information:

Name: *

Organization: *

Address: *

Address 2:

City: *

State:

Postal Code:

Country:

Email Address: *

Phone Number: *

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* 2. What is your job title?

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* 3. Who is your supervisor?

Manager Name:

Manager Title:

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* 4. How many FISH slides are processed in your lab per WEEK?

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* 5. Enter % of all FISH sample types processed (Total should = 100%)

% Blood/bone marrow

% FFPE

% Amnio

% Other

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* 6. How many probes per case does your lab run (e.g. MDS, MLL, etc.)?

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* 7. Please enter any comments you may have here.