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Customers wishing to take out a brand new service contract on any of our Biotek range of equipment between 1st June 2006 and 31st August 2006 will automatically receive a 10% discount off of the normal contract price*. Click here for terms and conditions Customers registering details of their equipment by requesting a quotation/repair via the form below will be entered into a prize draw to win an Annual Preventative Maintenance contract. Click here for terms and conditions
Personal Details
Title
First name	*
Surname	*
Job Title
Company	*
Department
Country
Address (Street/Road)	*
Address Line 2
Address Line 3 (Area)
Address Line 4 (Post Town)
Postcode	*
Telephone	*
Extension
Fax
Email Address	*

Additional address information
House Name/Building details:
School/Institute (e.g. Medical School)

Instrument Details
Manufacturer/Brand:	*
Instrument type:	*
Model No:	*
Serial No:	*
Catalogue No:
Age of instrument:
Service Contract Type Required:	Preventative Maintenance Assured Service Total Service

Communication Mechanisms
Please keep me informed about future developments or special offers
Prefer Mail
Prefer Fax
Prefer Telephone
Prefer Email
No Promotional Contact
*required field

Click here to view the Biotek special offer terms and conditions

Click here to view the FREE maintenance prize draw terms and conditions

Fisher Scientific UK Ltd and Tecton are committed to safeguarding your privacy.
Fisher Scientific UK Ltd collects customer information from most communications so as to maintain an accurate and relevant data record.
This data may be used for promotional and customer service activities.