Genotyping Panels Quote Request

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First Name*		Last Name*
Position		Department*
Institution*		Address*
Address 2		Room/Mail Code
City*		State/Province*
Zip Code *		Country*
Email Address*		Telephone*
Fax		Promotional Code

To obtain a quotation for Marligen’s Signet™ Genotyping panels for the Luminex platform, please indicate your interest by entering your in the table below.

Catalog No.	Item Name	192 Tests	960 Tests	Other
11727-000	Signet™ PG Panel 1
11728-000	Signet™ PG Panel 2
11729-000	Signet™ PG Panel 3
11730-000	Signet™ PG Panel 4
11731-000	Signet™ Obesity Panel 1
11732-000	Signet™ Drug Metabolism Panel 1
11733-000	Signet™ Drug Metabolism Panel 2
11734-000	Signet™ Drug Metabolism Panel 3
11735-000	Signet™ Drug Metabolism Panel 4
11736-000	Signet™ Alzheimer’s Panel 1

Additional Comments or Requirements