*Do you qualify for our New Lab Start Up Program?:  Select OneBuilt or establishing a NEW lab in CanadaMoving your lab to a NEW location in CanadaYou are a first time grant recipient

*Principal Scientist name: 

Source of new funding: 

*Lab Manager/main contact in lab: 

Main research focus: 

*Date of lab start up: 

ESBE Account number: 

Institute: 

Address: 

*Tel:   Ext: 

Fax: 

*Email: 

Please identify your equipment and consumable needs by filling out the following checklist:

Autoclaves: 

Microplate Readers & Washers: 

Balances & Scales: 

Morgue & Gross Room Equipment & Accessories: 

Biological Safety Cabinets & Isolators: 

Packaging & Training, Class 6.2: 

Cell Counting: 

pH Meters & Electrodes: 

Cell Transfection: 

Pharmaceutical Standards & PT: 

Centrifuges: 

Recorders & Alarms: 

Cryogenic Storage: 

Refrigerators: 

Diagnostics: 

Stainers, Coverslippers, Histology Equipment: 

Freezers: 

Tissue Processors & Histology Workstations: 

Fume Hoods: 

 

General Lab Equipment: 

 

Incubation: 

 

Other: 

Other: 

Other: 

Bags: 

Racks: 

Beakers: 

Sample Cups (autoanalyzers): 

Boxes: 

Sharps Disposal Containers: 

Cleaners: 

Slides: 

Complete Inventory Systems: 

Specimen Collection: 

Coverglass: 

Spill Kits: 

Cytology Funnels: 

Stains & Reagents: 

Disposable Funnels: 

Tips: 

Gloves: 

Tissue Grinders: 

Histology Disposables & Accessories: 

Tissue Marking Dyes: 

Inoculating Loops, Needles & Spreaders: 

Tubes: 

Lab Wipes, Liners: 

Urine Sedimentation System: 

Liquid Handling: 

Vials: 

Pathology Consumables: 

Weighing Dishes: 

Petri Dishes: 

 

Plates: 

 

Other: 

Other: 

Other: 

Additional Comments:

Fields marked with an asterisk (*) are required and your application cannot be processed if left blank.

Offer valid for Canadian customers only. Limit one New Lab Start up package per lab. Offer not valid with any other offer/promotion. Free products must be redeemed at LIST price. Free goods must be ordered within six months of new lab start up. Offer subject to change without notice, void where prohibited by law or company policy. Participation in the ESBE Scientific New Lab Start up program indicates permission to send notices on new products, prices and services.

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