Request edit access
 Consensus Form for  Molecular Devices (SpectraMax iD3)
Terms of Use:

  1. This Fluorescent Microplate Reader provides NO technician service. The requester must be trained before use.

  2. The service fee is 100 Baht/hr (UV-Vis mode) and 200 Baht/hr (Fluorescent mode)

  3. The invoice is issued to a user every quarter (March, June, September, and December)

  4. The amount of the service fee is shown as a quarter accumulation.

By filling out the form, I hereby certify that the below information is true and correct, and consent to the Terms of Use.
Sign in to Google to save your progress. Learn more
Full name *
ชื่อ-นามสกุล
Email *
Contact number *
เบอร์ติดต่อ
Position *
Department/Division/Program *
Faculty/School *
Organization *
Advisor *
or Principle investigator (PI)
Advisor's email *
Advisor's Tel *
เบอร์ติดต่อที่ปรึกษา
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms