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BenchMark XT Request Form
       
I would like to receive additional information about the BenchMark XT System
       
First Name:
Last Name:
Title:
Telephone:
Hospital/Company Name:
Street:
Street:
City: State:  
Postal Zip Code:    
Email Address
       
 Approximately how many IHC and ISH slides does your lab process?
       
IHC per day
ISH per year
    
<12
  None 
 
13-23
  1-500 
 
24-35
  501-2000 
 
36-47
  >2000
 
48-60
 
61-115
  
  
  
 116+        
  
  
  
  
How is your lab currently processing these slides?
Manually
  
  
  
Automated Platform
  
  
       
If performed on an automated platform, which system(s) are used currently used in your lab and how many slides are processed on each/day?
Platform
Slides per day
    
Dako      
BenchMark      
NexES IHC      
NexES ES      
TechMate      
Biogenex      
Cytologix      
Other   
       
My lab intends to purchase an automated system within the next 6 to 9 weeks.
       
Please contact me to discuss my labs specific needs.