BioLegend Custom Services Flow Questionnaire

       (*denotes required field)

*First Name
*Last Name
Job Title
PI Name
Address 1
Address 2
Postal/Zip Code
*Phone Number
*Email Address
*Single or multi-color (pre-mixed) reagents?
*Specify marker, fluorochrome, clone combination (eg. CD3 FITC, clone UCHT1)?
If specific clones are desired, please specify those:
*Need help with panel design?
*Liquid or lyophilized?
*If lyophilized, single or multi test packaging?
*Antibody titration and optimization needed?
*Any specific QC requirements?
*Specify QC requirements:
*Is this a clinical trial?
*Clinical trial duration:
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