Custom Request

Please fill in the following fields as best as possible. After filling out the form click the ‘Submit’ button at the bottom of this page. Please allow up to 2 business days four our team to review your request and respond accordingly.

Date of request
Title
First name *
Last name *
Job title
Company/Institute *
Department
Address line 1 *
Address line 2
City *
State
Post code
Country *
Telephone
Fax
E-mail *
Application
Please briefly describe the application *
Specifications
Glass Type
Other Glass Type
Glass Format
Other Glass Format
Glass Dimensions:
Length (mm)
Width (mm)
Diameter (mm)
Thickness (mm)
Other thickness in mm (with required tolerance)
Please note: not all glass types are available in all the thicknesses listed.
Describe critical areas:
Critical Dimension
Edge finish required
Other edge finishing
Other corner finishing
Glass coating required
Other glass coating
Please give specific details of any additional processing steps, such as drilling (round or rectangular holes). Creation of caverns or channels:
Additional Processing
Barcode Option
Other Barcode Option
Sequenced Barcode
Not required
Yes:
Sequence required
Barcode color
Please specify size and location:
Barcode position
Logo
No
Yes
If Yes, please specify logo type, size and location:
Logo color
Well patterns printing with permanent hydrophobic ink
Please give dimensions and locations of the wells required:
Detailed specification for optical coating
Please note! We have a minimum order value of EUR 300 / USD 300.
Number of pieces required *
Annual Usage
Other Comments
Send me a copy
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* = Mandatory entry

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Customized Solutions
Custom Request
Customized Solutions

Exhibitions & Events

11.

November

Exhibition MicroTas, Kaohsiung, Taiwan, 11-11 to 11-15-2018

12.

November

Exhibition COMPAMED, Duesseldorf, Germany, 11-12 to 11-15-2018

More Exhibitions