QIAGEN - Request Your Trial Kit

Please complete this from to request a quote for a trial kit.

Email Address*

Phone*Format: +492103290

Title

First Name*

Last Name*

Organization/Institute*

Department*

Delivery Address

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City
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Zip code
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Country*

*Trial kits are not available in all countries.

State/Province*

Different Billing address

Street and house number

City

Zip code

Country

Trial kits are not available in all countries

State/Province

Please provide us with a few details about your intended application.

What is your up / downstream application?*

What kit/solution are you currently using?

How many samples do you typically run per month?*

When do you plan to use the trial kit?
*

If satisfied, when do you expect to purchase additional kits?

How did you hear about the product?

What other methods or brands are you evaluating for your project?

Please tell us more about your research

Choose your application from the categories below

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Please enter additional comments here

Only one kit can be delivered relative to a trial quote request, to each laboratory, for each project.
Acceptance of this kit could be reportable under the US Sunshine Act and other relevant transparency reporting laws. It is the customer’s responsibility to ensure that acceptance of this kit does not violate internal compliance policies.

* mandatory field

^† Subject to your consent given above, QIAGEN may use your personal information for internal business and marketing purposes. The information will not be sold to any third party. QIAGEN may transfer your personal information to our CRM system (hosted by SalesForce.com, Inc. and Oracle Corp.) solely for the purposes of data hosting and QIAGEN email distribution. You may unsubscribe at any time. Your data will be processed in compliance with applicable privacy laws including the EU General Data Protection Regulation. For further details please refer to our Privacy Policy.

Request to try a QIAGEN kit

Please complete this from to request a quote for a trial kit.

Delivery Address

Please provide us with a few details about your intended application.

Choose your application from the categories below

Debugging Information

Sample to Insight