Full Name (mandatory)

Institutional e-mail address (mandatory)

Institution (mandatory)

Type of service needed. Check Our services for more information. Please, select an option. (mandatory)
Regenfix Basic/PlusRegenfix PremiumProfitable Recycling

How many columns have to be treated? (mandatory)

About resin(s) and column(s): indicate age, type, and company. (mandatory)

What is the volume of the column(s)? (mL) (mandatory)

Have you ever opened the column/s for any purpose (e.g., filter change, resin refill and/or replacement)? Please, select an option. (mandatory)
NoYes

What type of sample do you process? Please, select an option. (mandatory)
Filtered Crude ExtractCentrifuged Crude ExtractPartially Purified Sample

Which components are in your sample? Please, select an option.(mandatory)
Membrane ProteinSoluble ProteinNucleic Acid

From which organism is your sample? Please, select an option. (mandatory)
PlantBacteriaVirusYeastAnimal

Please, indicate your standard operating pressure (MPa or Bar) and flow rate (mL/min). (mandatory)

Presence of contaminant. Please, select an option. (mandatory)
NoneBacterialViralChemicalRadioactiveHazardous

Does your column need to be unpacked and packed? (e.g., for resin refill, presence of internal cracks, and air bubbles). Please, select an option. (mandatory)
NoYes

Is a resin refill needed/Is the column missing resin? Please, select an option. (mandatory)
NoYes

In case of resin refill: please, specify how much in mL.

Does your column have broken pieces to be replaced? (e.g., column body, head and bottom caps). Please, select an option. (mandatory)
NoYes

Do you wish to use your own courier service? If not, we will add the cost to your quote. Please, select an option. (mandatory)
NoYes

How did you hear about us? Please, select an option. (mandatory)
Search engineRecommendation from a contactSocial media platformsReserch articlesDirect e-mail

Please, attach the picture/s of your column/s. It will help us with the evaluation.
Allowed file types: jpeg, jpg, tif, tiff, png - 800 kb max. (mandatory)

Do you have a discount code? (optional)

I hereby declare that the information in this form is true and correct to the best of my knowledge. If any information given in this form proves false or incorrect, I shall be responsible for the consequences.

I am not a robot

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