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Tell us about your microarray project by completing the form below. A Roche NimbleGen representative will contact you for further information or to email or fax you a quote.

Note: If you are interested in Sequence Capture, please fill out the quote form on the Sequence Capture page.

If you have other questions, please use the World Contact Map to contact your Sales representative.

First Name *
Last Name *
Organization *
Department  
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Address Line 2  
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Phone *
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Where did you hear about us?  
What products or services are you interested in?   Array Services
Array Purchase
Training Workshop
Equipment & Supplies Purchase
Software Purchase
Information about the Study
Organism of Interest  
* Organism requires special handling.
Please contact a sales representative for more information.
If you chose "Other," please type the name of the organism(s) of interest.  
Application of Interest
(if you are interested in Sequence Capture, please fill out the quote form on the Sequence Capture page)
* DNA Methylation
Array CGH
Chromatin Immunoprecipitation (ChIP) chip
Gene Expression
Comparative Genome Sequencing
Instruments
Kits & Consumables
Other... (describe in text box in next question)
Additional information about your experiment:  
Number of genes on the array?  
Number of arrays? *
How many different samples? *
Will NimbleGen label the samples? * Yes No
What other microarray platforms have you used?   Spotted cDNA array
Spotted oligo array
in situ synthesized array
Other platform
Information about Sequence Data Sources - Custom Arrays Only
Are the DNA sequences for this study:   Single-pass EST's
Clustered EST's
Annotated genomic sequences
Completed genome
Other platform
Database source is:   Private Public
Database name:  
Additional information:  
 
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