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Request for Quotation
Please provide the following information to enable an accurate quotation
   
   
Contact Information  
Name Tel
   
Address Company/Institution
   
Email Fax
   
End User Details if not as above
   
Important  
In order to comply with export control regulations please state your use of Klarite products
   
Industrial Chemical Pharmaceutical

Medical Academic/Research
Forensics Environmental
Police/Military Nuclear
Chemical/Biological agents Other
   
Equipment to be used for Raman Analysis
Manufacturer Model Number
   
Laser wavelength Detection Area
   
  Product Quantity
302 Microscope slide mounted Klarite Surface enhanced Raman substrate (min quantity 5)
303 Unmounted Klarite Surface enhanced Raman substrate (min Quantity 5)
306 SCal Raman silicon calibration standard (min quantitly 1)
  Customised product (please contact Mesophotonics)
   
Details of chemical(s) to be tested  
   
Any other special requests  
   
Where did you hear about Klarite products?  
   
Website   Conference   Advertisement   Colleague   Technical Paper   Other