"ON-SITE" Service Request

Please fill out and submit the "ON-SITE" Services Request Form below to schedule service at your facility. A Calibrate Representative will contact you within 24 hours to schedule the service and make all necessary arrangements. 

* = Required Field

On-Site Service Request Form:
* First Name:
* Last Name:
Job Title:
* Email:
* Telephone:
Fax:
* Institution:
Department:
Bldg/Room No.:
Campus Box:
* Street Address:

* City:
* State:
* Zip:
* Country:
Cell Phone:
Servicing Requirements:
* Please select your service level:
Please select the appropriate service level for your facility's requirements. For information about our 6 levels of service click here.
* Please select your Preferred Calibration Interval:
Comments or Special Instructions:
Indicate How Many Pipettes Are In Need Of Service?
If not requesting service for a particular style,
please enter a '0' (zero) in that quantity field.
* Single Channel Pipettes:
* Multi Channel Pipettes:
How did you hear about us?
Enter this code before submitting.
This will reduce the amount of SPAM we receive from programs that automatically complete these types of forms.
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