Registration of Interest - Drop Box Collection Service

Question Title

* 1. Your Profile

Full Name *

Institution

Email Address *

Phone Number

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* 2. Are you an existing PlasmidsNG or MicrobesNG customer?

Yes

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* 3. How many PlasmidsNG samples do you anticipate sending a week?

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* 4. How many MicrobesNG samples do you anticipate sending a week?

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* 5. Do you have an approved location for the drop box / collection service on your site?

Yes

Not yet - but I am willing to support the logistics of getting a drop box collection service in place

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* 6. Please provide full details for the proposed drop box / collection site if you have them

Stores / Site Contact Name

Institution / Building Name

Address

Address 2

City / Town

State / Province

ZIP / Postal Code

Country

Email Address for Stores / Site Contact

Phone Number for Stores / Site Contact

Question Title

* 7. Do you use any other sequencing services at the moment?

Yes

Please tell us more about the services that you are getting from other providers.

Registration of Interest - Drop Box Collection Service

Question Title

* 1. Your Profile

Question Title

* 2. Are you an existing PlasmidsNG or MicrobesNG customer?

Question Title

* 3. How many PlasmidsNG samples do you anticipate sending a week?

Question Title

* 4. How many MicrobesNG samples do you anticipate sending a week?

Question Title

* 5. Do you have an approved location for the drop box / collection service on your site?

Question Title

* 6. Please provide full details for the proposed drop box / collection site if you have them

Question Title

* 7. Do you use any other sequencing services at the moment?

Question Title

* 8. If you have any questions or comments about the proposed drop box collection service please let us know.