Xpect - Special Offer

Remel is a world-class microbiology brand. As a trusted supplier of a broad range of high quality media and diagnostic products used in clinical, industrial, research, and academic laboratories, and backed by a team of service experts, we are dedicated to microbiology.

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Face the Facts - Stock Up Form
Buy 4 Pick 1 FREE

When you purchase any combination of four Xpect^® Flu A&B or Xpect^® RSV kits, you earn one for free. This offer is limited to orders placed from August 1, 2009 through December 31, 2009. Complete the required information below then submit electronically OR print and fax to 800-864-4739.

Mix and match to meet your inventory needs.

For every 4 kits purchased, the fifth one is FREE!

NOTES: Fields marked with required * * are mandatory. This information will not be shared with a third party. By providing this information, I authorize Thermo Fisher Scientific to process the online order.

*Order Type

*Purchase Order Number

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Customer Information:

*Date

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*Remel Ship-to Account #

*Contact First Name

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*Last Name

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*Title

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*Account Name

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*City

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*State

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*Postal / ZIP Code

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Location USA

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Fax

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Items Ordered:

			Purchased Kits	No Charge Kits
1.	Xpect^® Flu A&B Test Kit	R24600	Qty:	Qty:
2.	Xpect^® RSV Test Kit	R24601	Qty:	Qty:

Order Confirmation (Remel Use Only):
Placed by: _________________ Conf #: _________________ Rep #: _________

Remel reserves the right to discontinue this promotion for any reason and without prior advanced notice.

Please note that the value of the special offer(s) the Customer may receive from the manufacturer under this program is a "discount or other reduction in price" to the Customer under section 1128B(b)(3)(A) of the Social Security Act [42 U.S.C. 1320a-7b(b)(3)(a)]. Accordingly, the Customer shall disclose this and any other discounts or other reduction in price received under this program under any state or federal program which provides cost or charge-based reimbursement to the Customer for the products and services purchased under this program.