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MLA Pipette Registration

   
Name:
Department:
Institution:
Mailing Address 1:
Address 2:
City:
State/Province:
Zip Code/Postal Code:
e-mail address:
   
Model:
   
Color:
   
Catalog Number:
(found on end panel of pipette box) This is mandatory for processing your registration.
   
Serial Number (digital and 2-stroke models:
   
Industry:
   
If you selected "other", please indicate your industry:
   
Laboratory:
   
If you selected "other", please indicate your laboratory type: