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Online Special Request Form for Bar Coding

Our Commitment to Your Screening Needs
The BD Biosciences Discovery Labware Bar Coding Service provides high-quality bar code labels affixed to any side of a BD Falcon™ or
BD BioCoat™ microplate. Bar codes have been quality tested for optimal readablilty, chemical resistance, and temperature durability.

Request a Proposal for Bar Coded Plates
To request a proposal for bar coded plates, please complete and submit this form. You can also print and fax this form to 800.743.6200 or 781.275.0043.

Plate Type and Catalog Number:  
Quantity:  
Specific Symbology
(e.g., Code 128B):		  
Location of label on plate
(e.g., A1 short side):		  
Digits in Sequence:   <5   6   7   8
Center Justify
Left Justify
Right Justify
Height of Code:  
Width of Code:  
Human Readable:   Yes    No
Location of Human Readable (e.g., before/after symbology):  
Other Needs (e.g., temperature limits, solvent resistant):  


Please complete Personal Data below and then submit this form.
 
Personal Data
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* Name: Department / Mail Code:
Title: Institution:
Building / Room: * Address:
* City: * State:
* Zip/Postal Code: * Country:
*Phone:
E-mail:
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