Contact News-Medical

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" 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Rheumatology</span></a></li> <li><a href="/condition/Pregnancy"><span>Pregnancy</span></a></li> <li><a href="/condition/Breast-Cancer"><span>Breast Cancer</span></a></li> <li><a href="/condition/Type-1-Diabetes"><span>Type 1 Diabetes</span></a></li> <li><a href="/condition/Cold-Flu-Cough"><span>Cold, Flu & Cough</span></a></li> <li><a href="/condition/Type-2-Diabetes"><span>Type 2 Diabetes</span></a></li> <li><a href="/condition/Eating-Disorders"><span>Eating Disorders</span></a></li> <li><a href="/condition/Sexual-Health"><span>Sexual Health</span></a></li> <li><a href="/condition/Eye-Health"><span>Eye Health</span></a></li> <li><a href="/condition/Sleep"><span>Sleep</span></a></li> <li><a href="/condition/Gastrointestinal-Health"><span>Gastrointestinal Health</span></a></li> <li class="empty-listitem"><span> </span></li> </ul> <div class="hub-menu-view-all-topics"> <a id="hypViewAllMobile" href="/medical-a-z.aspx">View Health A-Z</a> </div> </div> <ul aria-hidden="true" class="menu main-nav-menu top-nav-menu-life-sciences"> <li class="hidden-sm hidden-md hidden-lg mobile-menu-medical-home"><a href="/medical"><span>Medical Home</span></a></li> <li class="hidden-sm hidden-md hidden-lg mobile-menu-life-sciences-home"><a href="/life-sciences"><span>Life Sciences Home</span></a></li> <li><a href="/life-sciences/about"><span>About</span></a></li> <li><a href="/life-sciences/news"><span>News</span></a></li> <li><a href="/life-sciences-a-z"><span>Life Sciences A-Z</span></a></li> <li><a href="/life-sciences/whitepapers"><span>White Papers</span></a></li> <li><a href="/Life-Science-and-Laboratory"><span>Lab Equipment</span></a></li> <li><a href="/life-sciences/interviews"><span>Interviews</span></a></li> <li><a href="/life-sciences/newsletters"><span>Newsletters</span></a></li> <li class="menu-item-on-wide-device"><a href="/life-sciences/webinars"><span>Webinars</span></a></li> <li class="hidden-xs"><a class="moremenu">More...</a></li> <li class="hidden-sm hidden-md hidden-lg"><a href="/life-sciences/ebooks"><span>eBooks</span></a></li> <li class="hidden-sm hidden-md hidden-lg"><a href="/life-sciences/posters"><span>Posters</span></a></li> <li class="hidden-sm hidden-md hidden-lg"><a href="/life-sciences/podcasts"><span>Podcasts</span></a></li> <li class="hidden-sm hidden-md hidden-lg"><a href="/life-sciences/contact"><span>Contact</span></a></li> <li class="hidden-sm hidden-md hidden-lg"><a href="/life-sciences/team"><span>Meet the Team</span></a></li> <li class="hidden-sm hidden-md hidden-lg"><a href="/life-sciences/advertise"><span>Advertise</span></a></li> <li class="hidden-sm hidden-md hidden-lg"><a href="/life-sciences/search"><span>Search</span></a></li> <li class="hidden-sm hidden-md hidden-lg mobile-menu-profile-become-member"> <a href="/azoprofile/login/" onclick="return AZoProfileUtils.showAZoProfileLoginFullOverlay(null, null);" class="login-signup"><span>Become a Member</span></a> </li> </ul> <div class="sub-menu col-xs-12" aria-role="nav"> <ul class="mobile-main mobile-main-medical serif hidden-xs"> <li class="menu-item-on-wide-device"><a href="/medical/whitepapers">White Papers</a></li> <li><a href="/mediknowledge">MediKnowledge</a></li> <li><a href="/medical/ebooks">eBooks</a></li> <li><a href="/medical/posters">Posters</a></li> <li><a href="/medical/podcasts">Podcasts</a></li> <li><a href="/medical/newsletters"><span>Newsletters</span></a></li> <li><a href="/Consumer-Products"><span>Health & Personal Care</span></a></li> <li><a href="/medical/contact">Contact</a></li> <li><a href="/medical/team">Meet the Team</a></li> <li><a href="/medical/advertise">Advertise</a></li> <li><a href="/life-sciences/search">Search</a></li> <li class="mobile-menu-profile-become-member"> <a href="/azoprofile/login/" onclick="return AZoProfileUtils.showAZoProfileLoginFullOverlay(null);" class="login-signup"><span>Become a Member</span></a> </li> </ul> <ul class="mobile-main mobile-main-life-sciences serif hidden-xs"> <li class="menu-item-on-wide-device"><a href="/life-sciences/webinars"><span>Webinars</span></a></li> <li><a href="/life-sciences/ebooks"><span>eBooks</span></a></li> <li><a href="/life-sciences/posters"><span>Posters</span></a></li> <li><a href="/life-sciences/podcasts"><span>Podcasts</span></a></li> <li><a href="/life-sciences/contact"><span>Contact</span></a></li> <li><a href="/life-sciences/team">Meet the Team</a></li> <li><a href="/life-sciences/advertise"><span>Advertise</span></a></li> <li><a href="/life-sciences/search"><span>Search</span></a></li> <li class="mobile-menu-profile-become-member"> <a href="/azoprofile/login/" onclick="return AZoProfileUtils.showAZoProfileLoginFullOverlay(null);" class="login-signup"><span>Become a Member</span></a> </li> </ul> </div> </div> </nav> </header> <div class="clearfix"> <div id="top-banner-ad" class="banner-ad"> <div id='top-promo-spot'> <div id='div-gpt-top-leaderboard'> <script type='text/javascript'> //<![CDATA[ if (g_displayableSlots.desktopLeaderboard) { pushDisplayAd(function () { googletag.display('div-gpt-top-leaderboard'); }); } //]]> </script> </div> </div> </div> </div> <main id="main" tabindex="-1" class="main-container col-xs-12 col-md-8"> <div class="row"> <div class="col-xs-12"> <div class="item-body contact-page"> <h1>Contact News-Medical</h1> <p>Please use the form below to get in touch with your inquiry:</p> <hr> <div class="row"> <div class="col-xs-12"> <div class="contact-section-contents" id="contact_form"> <div class='common-site-form-wrap'> <div id="common-site-form-step-one"> <div class="form"> <div class="row"> <div class="col-xs-12"> <div id="ctl00_cphBody_contactPage_contact_form_liInquiryType" class="form-group"> <label for="ddlInquiryType">Inquiry Type</label> <div class="form-group csf-entry-medium"> <select name="ctl00$cphBody$contactPage$contact_form$ddlInquiryType" id="ddlInquiryType" class="form-control" onchange="AzoContactForm.expandFormOptions()" onblur="AzoContactForm.validateField(this)"> <option value="">Select ...</option> <option value="Editorial">Editorial - I want to submit content to your editorial team</option> <option selected="selected" value="Marketing">Marketing - I want to find out more about the marketing options you offer on your website</option> <option value="RFQ">Request a Quote (RFQ) for a product or service you found on the site</option> </select> <span id="ctl00_cphBody_contactPage_contact_form_ctl05" class="contact-error-msg" style="display:none;">Please select an inquiry type</span> </div> </div> </div> </div> <div class="standard-contact-form"> <div class="row"> <div class="col-sm-6"> <label for="tbFirstName">First Name</label> <div class="form-group"> <input name="ctl00$cphBody$contactPage$contact_form$tbFirstName" type="text" maxlength="50" id="tbFirstName" class="form-control" placeholder="Your first name" pattern=".{1,}" onblur="AzoContactForm.validateField(this)" /> <span id="ctl00_cphBody_contactPage_contact_form_ctl00" class="contact-error-msg" style="display:none;">Please enter your first name</span> </div> </div> <div class="col-sm-6"> <label for="tbLastName">Last Name</label> <div class="form-group"> <input name="ctl00$cphBody$contactPage$contact_form$tbLastName" type="text" maxlength="50" id="tbLastName" class="form-control" placeholder="Your last name" pattern=".{1,}" onblur="AzoContactForm.validateField(this)" /> <span id="ctl00_cphBody_contactPage_contact_form_ctl01" class="contact-error-msg" style="display:none;">Please enter your last name</span> </div> </div> </div> <div class="row"> <div id="liJobTitle" class="col-sm-6"> <label for="tbJobTitle">Job Title</label> <div class="form-group"> <input name="ctl00$cphBody$contactPage$contact_form$tbJobTitle" type="text" maxlength="100" id="tbJobTitle" class="form-control" placeholder="Your job title" pattern=".{1,}" onblur="AzoContactForm.validateField(this)" /> <span id="ctl00_cphBody_contactPage_contact_form_jobTitleRequiredFieldValidator" class="contact-error-msg" style="display:none;">Please specify your job title</span> </div> </div> <div id="liOrganization" class="col-sm-6"> <label for="tbOrganization">Organization</label> <div class="form-group"> <input name="ctl00$cphBody$contactPage$contact_form$tbOrganization" type="text" maxlength="100" id="tbOrganization" class="form-control" placeholder="Your organization" pattern=".{1,}" onblur="AzoContactForm.validateField(this)" /> <span id="ctl00_cphBody_contactPage_contact_form_organizationRequiredFieldValidator" class="contact-error-msg" style="display:none;">Please enter your organization</span> </div> </div> </div> <div id="liWebsite" class="row" style="display: none;"> <div class="col-xs-12"> <label for="tbWebsite">Company Website</label> <div class="form-group"> <input name="ctl00$cphBody$contactPage$contact_form$tbWebsite" type="text" maxlength="250" id="tbWebsite" class="form-control" placeholder="Your company website" pattern=".{1,}" onblur="AzoContactForm.validateField(this)" /> <span id="ctl00_cphBody_contactPage_contact_form_ctl06" class="contact-error-msg" style="display:none;">Please fill in this required field.</span> </div> </div> </div> <div id="liCountries" class="row" style="display: none;"> <div class="col-sm-6" id="colCountryList"> <label for="ddlCountryList">Country</label> <div class="form-group"> <select name="ctl00$cphBody$contactPage$contact_form$ddlCountryList" id="ddlCountryList" class="form-control" onchange="AzoContactForm.showZipCodeField()" onblur="AzoContactForm.validateField(this)"> <option value="">Select...</option> <option value="220">United States</option> <option value="219">United Kingdom</option> <option value="80">Germany</option> <option value="106">Japan</option> <option value="44">China</option> <option value="13">Australia</option> <option value="1">Afghanistan</option> <option value="253">Åland Islands</option> <option value="2">Albania</option> <option value="3">Algeria</option> <option value="4">American Samoa</option> <option value="5">Andorra</option> <option value="6">Angola</option> <option value="7">Anguilla</option> <option value="8">Antarctica</option> <option value="9">Antigua And Barbuda</option> <option value="10">Argentina</option> <option value="11">Armenia</option> <option value="12">Aruba</option> <option value="14">Austria</option> <option value="15">Azerbaijan</option> <option value="16">Bahamas</option> <option value="17">Bahrain</option> <option value="18">Bangladesh</option> <option value="19">Barbados</option> <option value="35">Belarus</option> <option value="20">Belgium</option> <option value="21">Belize</option> <option value="22">Benin</option> <option value="23">Bermuda</option> <option value="24">Bhutan</option> <option value="25">Bolivia</option> <option value="246">Bonaire, Sint Eustatius And Saba</option> <option value="26">Bosnia And Herzegovina</option> <option value="27">Botswana</option> <option value="28">Bouvet Island</option> <option value="29">Brazil</option> <option value="30">British Indian Ocean Territory</option> <option value="229">British Virgin Islands</option> <option value="31">Brunei</option> <option value="32">Bulgaria</option> <option value="33">Burkina Faso</option> <option value="34">Burundi</option> <option value="36">Cambodia</option> <option value="37">Cameroon</option> <option value="38">Canada</option> <option value="39">Cape Verde</option> <option value="40">Cayman Islands</option> <option value="41">Central African Republic</option> <option value="42">Chad</option> <option value="43">Chile</option> <option value="45">Christmas Island</option> <option value="46">Cocos (Keeling) Islands</option> <option value="47">Colombia</option> <option value="48">Comoros</option> <option value="255">Congo (Drc)</option> <option value="49">Congo (Republic)</option> <option value="50">Cook Islands</option> <option value="51">Costa Rica</option> <option value="52">Cote D'Ivoire</option> <option value="53">Croatia</option> <option value="54">Cuba</option> <option value="242">Curaçao</option> <option value="55">Cyprus</option> <option value="56">Czech Republic</option> <option value="58">Denmark</option> <option value="59">Djibouti</option> <option value="60">Dominica</option> <option value="61">Dominican Republic</option> <option value="63">Ecuador</option> <option value="64">Egypt</option> <option value="65">El Salvador</option> <option value="66">Equatorial Guinea</option> <option value="249">Eritrea</option> <option value="67">Estonia</option> <option value="68">Ethiopia</option> <option value="69">Falkland Islands (Malvinas)</option> <option value="70">Faroe Islands</option> <option value="71">Fiji</option> <option value="72">Finland</option> <option value="73">France</option> <option value="74">French Guiana</option> <option value="75">French Polynesia</option> <option value="76">French Southern Territories</option> <option value="77">Gabon</option> <option value="78">Gambia</option> <option value="79">Georgia</option> <option value="81">Ghana</option> <option value="82">Gibraltar</option> <option value="83">Greece</option> <option value="84">Greenland</option> <option value="85">Grenada</option> <option value="86">Guadeloupe</option> <option value="87">Guam</option> <option value="88">Guatemala</option> <option value="240">Guernsey</option> <option value="89">Guinea</option> <option value="90">Guinea-Bissau</option> <option value="91">Guyana</option> <option value="92">Haiti</option> <option value="93">Heard And Mc Donald Islands</option> <option value="94">Honduras</option> <option value="95">Hong Kong</option> <option value="96">Hungary</option> <option value="97">Iceland</option> <option value="98">India</option> <option value="99">Indonesia</option> <option value="100">Iran</option> <option value="101">Iraq</option> <option value="102">Ireland</option> <option value="250">Isle Of Man</option> <option value="103">Israel</option> <option value="104">Italy</option> <option value="105">Jamaica</option> <option value="251">Jersey</option> <option value="107">Jordan</option> <option value="108">Kazakhstan</option> <option value="109">Kenya</option> <option value="110">Kiribati</option> <option value="257">Kosovo</option> <option value="113">Kuwait</option> <option value="114">Kyrgyzstan</option> <option value="115">Laos</option> <option value="116">Latvia</option> <option value="117">Lebanon</option> <option value="118">Lesotho</option> <option value="119">Liberia</option> <option value="120">Libya</option> <option value="121">Liechtenstein</option> <option value="122">Lithuania</option> <option value="123">Luxembourg</option> <option value="124">Macau</option> <option value="234">Macedonia</option> <option value="125">Madagascar</option> <option value="126">Malawi</option> <option value="127">Malaysia</option> <option value="128">Maldives</option> <option value="129">Mali</option> <option value="130">Malta</option> <option value="131">Marshall Islands</option> <option value="132">Martinique</option> <option value="133">Mauritania</option> <option value="134">Mauritius</option> <option value="238">Mayotte</option> <option value="135">Mexico</option> <option value="136">Micronesia</option> <option value="137">Moldova</option> <option value="138">Monaco</option> <option value="139">Mongolia</option> <option value="254">Montenegro</option> <option value="140">Montserrat</option> <option value="141">Morocco</option> <option value="142">Mozambique</option> <option value="143">Myanmar (Burma)</option> <option value="144">Namibia</option> <option value="145">Nauru</option> <option value="146">Nepal</option> <option value="147">Netherlands</option> <option value="256">Netherlands Antilles</option> <option value="150">New Caledonia</option> <option value="151">New Zealand</option> <option value="152">Nicaragua</option> <option value="153">Niger</option> <option value="154">Nigeria</option> <option value="155">Niue</option> <option value="156">Norfolk Island</option> <option value="111">North Korea</option> <option value="157">Northern Mariana Islands</option> <option value="158">Norway</option> <option value="159">Oman</option> <option value="160">Pakistan</option> <option value="161">Palau</option> <option value="243">Palestine</option> <option value="162">Panama</option> <option value="163">Papua New Guinea</option> <option value="164">Paraguay</option> <option value="165">Peru</option> <option value="166">Philippines</option> <option value="167">Pitcairn</option> <option value="168">Poland</option> <option value="169">Portugal</option> <option value="170">Puerto Rico</option> <option value="171">Qatar</option> <option value="172">Reunion</option> <option value="173">Romania</option> <option value="174">Russia</option> <option value="175">Rwanda</option> <option value="247">Saint Barthélemy</option> <option value="176">Saint Helena</option> <option value="177">Saint Kitts And Nevis</option> <option value="178">Saint Lucia</option> <option value="239">Saint Martin (French Part)</option> <option value="180">Saint Vincent And The Grenadines</option> <option value="181">Samoa</option> <option value="182">San Marino</option> <option value="183">Sao Tome And Principe</option> <option value="184">Saudi Arabia</option> <option value="185">Senegal</option> <option value="245">Serbia</option> <option value="186">Seychelles</option> <option value="187">Sierra Leone</option> <option selected="selected" value="188">Singapore</option> <option value="244">Sint Maarten (Dutch Part)</option> <option value="189">Slovakia</option> <option value="190">Slovenia</option> <option value="191">Solomon Islands</option> <option value="192">Somalia</option> <option value="193">South Africa</option> <option value="248">South Georgia And The South Sandwich Islands</option> <option value="112">South Korea</option> <option value="252">South Sudan</option> <option value="194">Spain</option> <option value="195">Sri Lanka</option> <option value="179">St. Pierre And Miquelon</option> <option value="196">Sudan</option> <option value="197">Suriname</option> <option value="198">Svalbard And Jan Mayen Islands</option> <option value="199">Swaziland</option> <option value="200">Sweden</option> <option value="201">Switzerland</option> <option value="202">Syria</option> <option value="203">Taiwan</option> <option value="204">Tajikistan</option> <option value="205">Tanzania</option> <option value="206">Thailand</option> <option value="62">Timor-Leste</option> <option value="207">Togo</option> <option value="208">Tokelau</option> <option value="209">Tonga</option> <option value="210">Trinidad And Tobago</option> <option value="211">Tunisia</option> <option value="212">Turkey</option> <option value="213">Turkmenistan</option> <option value="214">Turks And Caicos Islands</option> <option value="215">Tuvalu</option> <option value="230">U.S. Virgin Islands</option> <option value="216">Uganda</option> <option value="217">Ukraine</option> <option value="218">United Arab Emirates</option> <option value="221">United States Minor Outlying Islands</option> <option value="222">Uruguay</option> <option value="224">Uzbekistan</option> <option value="225">Vanuatu</option> <option value="226">Vatican City</option> <option value="227">Venezuela</option> <option value="228">Vietnam</option> <option value="231">Wallis And Futuna Islands</option> <option value="232">Western Sahara</option> <option value="233">Yemen</option> <option value="236">Zambia</option> <option value="237">Zimbabwe</option> </select> <span id="ctl00_cphBody_contactPage_contact_form_ctl07" class="contact-error-msg" style="display:none;">Please fill in this required field.</span> </div> </div> <div class="col-sm-6" id="liTownCity"> <label for="tbTownCity">Town/City</label> <div class="form-group"> <input name="ctl00$cphBody$contactPage$contact_form$tbTownCity" type="text" maxlength="50" id="tbTownCity" class="form-control" placeholder="Your town/city" pattern=".{1,}" onblur="AzoContactForm.validateField(this)" /> <span id="ctl00_cphBody_contactPage_contact_form_ctl08" class="contact-error-msg" style="display:none;">Please fill in this required field.</span> </div> </div> <div class="col-sm-6" style="display: none;" id="liZipCode"> <label for="tbZipCode">ZIP Code</label> <div class="form-group"> <input name="ctl00$cphBody$contactPage$contact_form$tbZipCode" type="text" maxlength="10" id="tbZipCode" class="form-control" placeholder="Your ZIP Code" pattern=".{5,10}" onblur="AzoContactForm.validateField(this)" /> <span id="ctl00_cphBody_contactPage_contact_form_ctl09" class="contact-error-msg" style="display:none;">Please fill in this required field.</span> </div> </div> </div> <div id="liQuoteFor" class="row" style="display: none;"> <div class="col-xs-12"> <label for="tbQuoteFor">Quote For</label> <div class="form-group"> <input name="ctl00$cphBody$contactPage$contact_form$tbQuoteFor" type="text" maxlength="250" id="tbQuoteFor" class="form-control" placeholder="Quotation for..." pattern=".{1,}" onblur="AzoContactForm.validateField(this)" /> <span id="ctl00_cphBody_contactPage_contact_form_ctl10" class="contact-error-msg" style="display:none;">Please fill in this required field.</span> </div> </div> </div> <div id="liRequesterBuyerJourneyStage" class="row" style="display: none;"> <div class="col-xs-12"> <label for="ddlRequesterBuyerJourneyStage">What best describes your current situation</label> <div class="form-group"> <select name="ctl00$cphBody$contactPage$contact_form$ddlRequesterBuyerJourneyStage" id="ddlRequesterBuyerJourneyStage" class="form-control" placeholder="Quotation for..." onblur="AzoContactForm.validateField(this)"> <option value="0">Select...</option> <option value="1">Expanding my knowledge</option> <option value="2">Investigating technologies for my application</option> <option value="3">Looking to buy within 1 year</option> <option value="4">Actively in the buying process</option> </select> <span id="ctl00_cphBody_contactPage_contact_form_ctl11" class="contact-error-msg" style="display:none;">Please fill in this required field.</span> </div> </div> </div> <div class="row"> <div class="col-sm-6"> <label for="tbEmail">Email Address</label> <div class="form-group"> <input name="ctl00$cphBody$contactPage$contact_form$tbEmail" type="email" maxlength="250" id="tbEmail" class="form-control" pattern=".{5,}" onblur="AzoContactForm.validateField(this)" placeholder="Your email address" /> <span id="ctl00_cphBody_contactPage_contact_form_ctl02" class="contact-error-msg" style="display:none;">Please enter your email address</span> <span id="ctl00_cphBody_contactPage_contact_form_ctl03" class="contact-error-msg" style="display:none;">Please enter a valid email address</span> </div> </div> <div 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document.all["ctl00_cphBody_contactPage_contact_form_ctl11"] : document.getElementById("ctl00_cphBody_contactPage_contact_form_ctl11"); ctl00_cphBody_contactPage_contact_form_ctl11.controltovalidate = "ddlRequesterBuyerJourneyStage"; ctl00_cphBody_contactPage_contact_form_ctl11.display = "Dynamic"; ctl00_cphBody_contactPage_contact_form_ctl11.validationGroup = "mainform"; ctl00_cphBody_contactPage_contact_form_ctl11.evaluationfunction = "CustomValidatorEvaluateIsValid"; ctl00_cphBody_contactPage_contact_form_ctl11.clientvalidationfunction = "AzoContactForm.validateBuyerJourneyStage"; ctl00_cphBody_contactPage_contact_form_ctl11.validateemptytext = "true"; var ctl00_cphBody_contactPage_contact_form_ctl02 = document.all ? document.all["ctl00_cphBody_contactPage_contact_form_ctl02"] : document.getElementById("ctl00_cphBody_contactPage_contact_form_ctl02"); ctl00_cphBody_contactPage_contact_form_ctl02.controltovalidate = "tbEmail"; ctl00_cphBody_contactPage_contact_form_ctl02.display = "Dynamic"; ctl00_cphBody_contactPage_contact_form_ctl02.validationGroup = "mainform"; ctl00_cphBody_contactPage_contact_form_ctl02.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid"; ctl00_cphBody_contactPage_contact_form_ctl02.initialvalue = ""; var ctl00_cphBody_contactPage_contact_form_ctl03 = document.all ? document.all["ctl00_cphBody_contactPage_contact_form_ctl03"] : document.getElementById("ctl00_cphBody_contactPage_contact_form_ctl03"); ctl00_cphBody_contactPage_contact_form_ctl03.controltovalidate = "tbEmail"; ctl00_cphBody_contactPage_contact_form_ctl03.display = "Dynamic"; ctl00_cphBody_contactPage_contact_form_ctl03.validationGroup = "mainform"; ctl00_cphBody_contactPage_contact_form_ctl03.evaluationfunction = "CustomValidatorEvaluateIsValid"; ctl00_cphBody_contactPage_contact_form_ctl03.clientvalidationfunction = "Azom.validateEmailAddress"; var ctl00_cphBody_contactPage_contact_form_ctl12 = document.all ? document.all["ctl00_cphBody_contactPage_contact_form_ctl12"] : document.getElementById("ctl00_cphBody_contactPage_contact_form_ctl12"); ctl00_cphBody_contactPage_contact_form_ctl12.controltovalidate = "ddlCurrentSituation"; ctl00_cphBody_contactPage_contact_form_ctl12.display = "Dynamic"; ctl00_cphBody_contactPage_contact_form_ctl12.validationGroup = "mainform"; ctl00_cphBody_contactPage_contact_form_ctl12.evaluationfunction = "CustomValidatorEvaluateIsValid"; ctl00_cphBody_contactPage_contact_form_ctl12.clientvalidationfunction = "AzoContactForm.validateCurrentSituation"; ctl00_cphBody_contactPage_contact_form_ctl12.validateemptytext = "true"; var ctl00_cphBody_contactPage_contact_form_ctl13 = document.all ? document.all["ctl00_cphBody_contactPage_contact_form_ctl13"] : document.getElementById("ctl00_cphBody_contactPage_contact_form_ctl13"); ctl00_cphBody_contactPage_contact_form_ctl13.display = "Dynamic"; ctl00_cphBody_contactPage_contact_form_ctl13.validationGroup = "mainform"; ctl00_cphBody_contactPage_contact_form_ctl13.evaluationfunction = "CustomValidatorEvaluateIsValid"; ctl00_cphBody_contactPage_contact_form_ctl13.clientvalidationfunction = "AzoContactForm.validateChallengeCheckboxes"; var ctl00_cphBody_contactPage_contact_form_ctl14 = document.all ? document.all["ctl00_cphBody_contactPage_contact_form_ctl14"] : document.getElementById("ctl00_cphBody_contactPage_contact_form_ctl14"); ctl00_cphBody_contactPage_contact_form_ctl14.display = "Dynamic"; ctl00_cphBody_contactPage_contact_form_ctl14.validationGroup = "mainform"; ctl00_cphBody_contactPage_contact_form_ctl14.evaluationfunction = "CustomValidatorEvaluateIsValid"; ctl00_cphBody_contactPage_contact_form_ctl14.clientvalidationfunction = "AzoContactForm.validateHelp"; var ctl00_cphBody_contactPage_contact_form_ctl15 = document.all ? document.all["ctl00_cphBody_contactPage_contact_form_ctl15"] : document.getElementById("ctl00_cphBody_contactPage_contact_form_ctl15"); ctl00_cphBody_contactPage_contact_form_ctl15.display = "Dynamic"; ctl00_cphBody_contactPage_contact_form_ctl15.validationGroup = "mainform"; ctl00_cphBody_contactPage_contact_form_ctl15.evaluationfunction = "CustomValidatorEvaluateIsValid"; ctl00_cphBody_contactPage_contact_form_ctl15.clientvalidationfunction = "AzoContactForm.validateMessage"; var ctl00_cphBody_contactPage_contact_form_ctl16 = document.all ? document.all["ctl00_cphBody_contactPage_contact_form_ctl16"] : document.getElementById("ctl00_cphBody_contactPage_contact_form_ctl16"); ctl00_cphBody_contactPage_contact_form_ctl16.display = "Dynamic"; ctl00_cphBody_contactPage_contact_form_ctl16.validationGroup = "mainform"; ctl00_cphBody_contactPage_contact_form_ctl16.evaluationfunction = "CustomValidatorEvaluateIsValid"; ctl00_cphBody_contactPage_contact_form_ctl16.clientvalidationfunction = "AzoContactForm.validateTermsSelection"; //]]> </script> <script type="text/javascript"> //<![CDATA[ $(function() { Azom.pushAnalyticsEvent(Encoder.htmlDecode('no_adsense_pageview'), { event_label: Encoder.htmlDecode('desktop lifesciences') }); }); //]]> </script> <script type="text/javascript"> //<![CDATA[ var Page_ValidationActive = false; if (typeof(ValidatorOnLoad) == "function") { ValidatorOnLoad(); } function ValidatorOnSubmit() { if (Page_ValidationActive) { return ValidatorCommonOnSubmit(); } else { return true; } } //]]> </script> </form> </div> <div id="right-block" class="side-block"> </div> </div> </div> </div> <script type="text/javascript"> //<![CDATA[ var contentViewData = { type: 'AzoSitePage', id: 1 }; //]]> </script> <script type="text/javascript" src="https://d2jx2rerrg6sh3.cloudfront.net/bundles/js/desktop/base?v=pZ50GDyUSNXD_QFwuAfJnhQuFM7GM1A_ul2ICTMHvz41"></script> <div class='overlay-content-wrapper'>  <div style="position:absolute;visibility:hidden;"> <div id="rfqForm" class="azoForm-dialog azoForm-desktop-container mfp-with-anim"> <div class="rfq-form-dialog-container-contents"></div> </div> </div> <div id="rfqFormMobileContainerOnPage" class="azoForm-mobile-container"></div>  </div> <script type="text/javascript"> //<![CDATA[ var RfqData = { "RfqSideTabCssClass": "requestQuoteGeneric", "Items": [ { "id": "rfq-generic", "elementSelectors": ["a.requestQuoteGeneric"], "itemType": "generic", "itemName": "", "itemId": 0, "formTitle": "Request a Quote or Further Information" } ] } ; $(function() { Azom.initRfqPage(); }); //]]> </script> <script type="text/javascript" src="https://d2jx2rerrg6sh3.cloudfront.net/bundles/js/site_contact?v=Jtjgc15eRzBQEMADXeoY8KYr_aMYiWgQH9rGL5LNh8s1"></script> </body> </html>

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