Inquiry Form: SSCW Smart Surface Culture Ware

* Required to enter

1.Name *
First Name

Family Name

Middle Name


2. Affiliation * Name of University / Institution


3. Department * Faculty & Laboratory / Department


4. Job Title *
　

5.E-mail Address *　


6.Telephone No. * 　


7.SSCW sample/product request:

a. Type of cells (CSTERM may provide specific culture advice)
1)
2)
3)

b. Do you request AMAZON BUSINESS info when we start to sell SSCW ? Yes

c. Do you purchase SSCW sample now ? (500 JPY per 3.5cm dish) Yes
(Note) SSCW price list will be informed before its launch (approx. JPY 800-1,000 per dish)

1) Details of your SSCW sample order (Sterilized package by 6 dishes)　
　　　1 set = 18 dishes (9,000 JPY +Tax)　

Your Order:
SSCW-S (Standard) 18 dishes JPY 9,000
set(s)
SSCW-L (More adhesive) 18 dishes JPY 9,000
set(s)
SSCW-Mix (S/L:12 dishes per each) JPY12,000
set(s)
SSCW-OX: Semi-order 18 dishes JPY12,000
set(s)
Semi-Order No informaed by CSTERM:
(Note) We will send you the estimate including shipping fee.
　　　In case of domestic shipping, Yu-Packet by Japan Post Service costs 381 JPY up to two packs