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Maxwell Instrument Please Enquire Form

Use this form to request pricing, or to try a Maxprep™ or Maxwell® System in your lab. We will contact you within 1-2 days of your submission to provide a quote or arrange a demo.

MS-2021-Maxwell Instrument Request Form
Which instrument would you like pricing information for?*
Are you interested in an instrument demo?*
What type of targets does your lab purify? (please check all that apply) 
Genomic DNA
Total RNA
Polyhistidine or HQ Proteins
Viral Total Nucleic Acid
DNA From Raw or Processed Foods
If other, please specify?
What sample types do you use?
What type of research are you performing?
First Name*
Last Name*
Street Address*
State/Province/Region (If applicable)*
Postal/Zip Code*
Country - Full List*
How would you like to be contacted*
I want to receive e-mails about new products and technologies, promotions, webinars and events. (Optional)
I have read and agree to the Promega Guidelines for Processing Personal Information (see link below)*
Promega Guidelines for Processing Personal Information

Products may not be available in all countries. After completing this form, we will contact you if the instrument you are inquiring is not unavailable in your country.