Enter our prize draw for a DAB Radio

Simply complete your details below and answer the two question about your next service to be entered into our prize draw to win a DAB Radio. Only one entry per customer.

Title :
First Name : *
Last Name : *
Company name : *
Department : *
Address : *
Postcode : *
Telephone Number : *
E-mail Address : *
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marketing from Kinesis :
Question 1
 
Day
Month
Year
When is your next pipette service due?
Question 2
How many pipettes are due to be serviced?
 
enter our prize draw