Service Acknowledgment for MX-series and MicroTwin Centrifuge

Instructions:
Check for equipment that may be in use or in possession according to the SERVICE NOTICE.
Fill the model number and serial number of the products in use, check the appropriate box and submit this form with your information in English.

* Required fields

Serial number for each model

Please enter the serial number for each model number, separated by commas.

MX-200

MX-300

MX-201

MX-301

MX-105

MX-205

MX-305

MX-107

MX-207

MX-307

MicroTwin

Contact Information for User Service

Institution / Company Name

Please enter institution / company name.

Department

Address

Please enter address.

Zip / postal code

Country

Please enter country.

First Name

Please enter first name.

Last Name

Please enter last name.

Please enter the correct email address.

Phone

Service Location（If Different Than Contact Information for User Service）

Institution / Company Name

Department

Address

Zip / postal code

Country

Name

Phone

I have read and accept the Privacy Policy.

Please read and accept this Privacy Policy.

Next (to confirmation step)

Confirmation of Service Acknowledgment

Confirm the contents of your service acknowledgement below.
The following information will be submitted for your service acknowledgement.

MX-200

MX-300

MX-201

MX-301

MX-105

MX-205

MX-305

MX-107

MX-207

MX-307

MicroTwin

Contact Information for User Service

Institution / Company Name

Department

Address

Zip / postal code

Country

First Name

Last Name

Phone

Service Location（If Different Than Contact Information for User Service）

Institution / Company Name

Department

Address

Zip / postal code

Country

Name

Phone

Check the information you have entered and click “Back” if you need to make any changes, or click “Submit” if you wish to register with the above information.

Back( to change information )