Request a SurePAGE gel sample

Please complete the form below to request a free sample of the SurePAGE gels from GenScript.

Samples are limited to one per lab/group and are available for customers based in the UK and Ireland only.

Salutation:*

First Name:*

Last Name:*

Email Address:*

Telephone:*

Organisation:*

Department:*

Note: Please enter a Dept., or "n/a" or "none" if applicable.

Street Address:*

City:*

County:*

Postcode:

What gel tank are you currently using?:*

Requested gel sample:*

Requested protein standard sample:

I agree to test & provide feedback regarding the requested sample within 3 weeks of sample receipt*