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* How did you hear about us?

-- I am a current user I have used product before Tradeshow or Conference Salesperson Web Search Referred by Colleague Advertisement or Flyer E-mail Announcement Other

What is your current cell-counting method?

Manual cell-counting

Automated cell-counting

If automated, please indicate current instrument used:

* Cell type to be analyzed for the demonstration:

For Vision CBA Analysis System: Cell-based assay to be run for the demonstration:

* When do you expect to make a purchasing decision?

-- Within the next 30 days Within 1 to 3 months Within 4 to 6 months Within 7 to 12 months More than 12 months from now

* Please list the key performance criteria to be evaluated during the demonstration:

* Please indicate two or three possible dates when the key potential users and decision-makers will be available for the demonstration:

Comments and /or Questions:

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