Free Samples Request Use This Form To Request Free Samples Name * First * Last * Company/Institution: * Job Title: * Address: * Address Line 1 Address Line 2 City * State / Province / Region * Post Code * Country * your-email * Phone: * Transfection reagent currently used? * How did you know Avalanche® Transfection Reagents? * Which sample do you want to test? * Avalanche®-Omni Transfection Reagent (EZT-OMNI-1, 50 µl)Avalanche®-Everyday Transfection Reagent (EZT-EVDY, 50 µl) Cells to do transfections on * Molecules (plasmids, siRNA, or others) to be transfected * Monthly Rxns * Comment or Message: 13+49=?