Apply for the New Lab Start-Up Program

The New Lab Start-Up Program gives you access to special offers that save you time and money and services to keep your lab running smoothly.

See if You Qualify

To qualify for the New Lab Start-Up Program, you must have done one of the following in the last 12 months:

Built or established a new lab
Received your first research grant
Moved to a new location

First Name

Last Name

Company Name

Department

Address

Building / Room

Country

City

State

ZIP/Postal Code

Email Address

Confirm E-mail Address

Phone Number (###-###-####)

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Fax (###-###-####) (Optional)

Fisher Scientific Account Number (######-###)

Date of Lab Start-Up (yyyy-mm-dd)

Status of your New Lab

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Checkbox Selection

You are not violating your company policies or procedures by accepting this promotional item You are not prohibited by employment, contract, law, regulation or any applicable professional code of conduct from accepting this promotional item I am a rep completing this form for my customer My rep is already aware of my new lab plans

I hereby acknowledge that by submitting this form to Fisher Scientific, the information provided is accurate and that I am starting a new laboratory.

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