Request for Order

Submit a Request for Order for PLTMax^® and PLTGold^® below! You will get a response within 1 business day.

Product Type	Grade	Volume	Catalog Number
PLTMax® (contains/requires heparin)	Research	27 mL	PLTMax27R
	Research	100 mL	PLTMax100R
	Research	500 mL	PLTMax500R
	Clinical	27 mL	PLTMax27GMP
	Clinical	100 mL	PLTMax100GMP
	Clinical	500 mL	PLTMax500GMP
PLTGold® (heparin-free)	Research	27 mL	PLTGold27R
	Research	100 mL	PLTGold100R
	Research	500 mL	PLTGold500R
	Clinical	27 mL	PLTGold27GMP
	Clinical	100 mL	PLTGold100GMP
	Clinical	500 mL	PLTGold500GMP

 

 

Ordering Information

Item 1 * <Select>PLTMax27RPLTMax100RPLTMax500RPLTMax27GMPPLTMax100GMPPLTMax500GMPPLTGold27RPLTGold100RPLTGold500RPLTGold27GMPPLTGold100GMPPLTGold500GMP

Item 1 Quantity *

Item 2 <Select>PLTMax27RPLTMax100RPLTMax500RPLTMax27GMPPLTMax100GMPPLTMax500GMPPLTGold27RPLTGold100RPLTGold500RPLTGold27GMPPLTGold100GMPPLTGold500GMP

Item 2 Quantity

Item 3 <Select>PLTMax27RPLTMax100RPLTMax500RPLTMax27GMPPLTMax100GMPPLTMax500GMPPLTGold27RPLTGold100RPLTGold500RPLTGold27GMPPLTGold100GMPPLTGold500GMP

Item 3 Quantity

Item 4 <Select>PLTMax27RPLTMax100RPLTMax500RPLTMax27GMPPLTMax100GMPPLTMax500GMPPLTGold27RPLTGold100RPLTGold500RPLTGold27GMPPLTGold100GMPPLTGold500GMP

Item 4 Quantity

Comments/Notes:

Contact Information

Name *

Company *

Email *

Purchase Order #

Country *

Address *

City *

State

Zip Code *

Phone

Shipping Provider

Shipping Account Number