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ipod® Giveaway
Contest Rules
Email Subject
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First and Last Name
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Email Address
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Please use your company or organizational email account; entries using hotmail, yahoo, gmail or similar domains will not be accepted.
Email Check
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Company
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Company or Organization
Title or Job Function
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---Select One ---
Analyst
Consultant
Educator
Grad Student/Post Doc
Group Manager
Health/Safety
Lab Director
Lab Manager
Lab Tech
Management/Administration
Pharmacist
Pharmacy Tech
Pharmacy Manager
Pharmacy Owner
Principal Scientist
Process Engineer
Procurement/Purchasing
Professor
Project Manager/PI
Quality Control
Process Development/Scale Up
Researcher
Scientist
Senior Researcher
Stockroom Manager
Other
Industry
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---Select One ---
Biotech Research & Development
Chemical Manufacturer
Compounding Pharmacy
Dealer/Reseller
Diagnostic Company
Government Research
Genomics
Group Purchasing
Hospital/Hospital Lab
Pharmaceutical
Physician Office Lab
Reference Lab
Education/University
Education/High School
Other
Address
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City
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State or Province
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Pick One (scroll to bottom for Canadian Provices)
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OR
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UT
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Postal Code
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Country
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Pick One
USA
Canada
Office Telephone Number
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Please enter XXX-YYY-ZZZZ
How did you hear about the Giveaway?
Announcement in product box
Web search for lab spatulas
A friend told me
Sample Request
210 mm Standard smartSpatula
210 mm Sterile smartSpatula
310 mm Macro smartSpatula
140 mm Micro smartSpatula
140 mm EcoSpatula
Please also send me the samples checked above.
Test
*