Registration Form

Your registration has been submitted, qcsupport will endeavour to process your request within two working days.
  • User Details
  • Instrumentation

Email

First Name

Last Name

Telephone

Mobile

Your Position

Hospital/Laboratory

Address Line 1

Address Line 2

Country

Department
Please enter the Lot Number of one of your current Multichem products, This is required to configure your account.

Please provide details of laboratory instrumentation currently in use.

Note: If your laboratory contains more than one platform manufacturer please ensure you list all manufacturers at this step.


Platform Type Instrument Model Quantity
Platform Instrument Model Quantity