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<P ALIGN=RIGHT><FONT COLOR="#ffffff"><FONT FACE="Verdana"><FONT SIZE=4><B>Customer
Service </B></FONT></FONT></FONT>
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<P ALIGN=LEFT><FONT FACE="Verdana"><FONT SIZE=2><B>Related Links</B></FONT></FONT></P>
</TD>
<TD WIDTH=406>
<P ALIGN=LEFT><FONT FACE="Verdana"><FONT SIZE=2><B>For customer
service information and/or technical support please fill in the
following form: </B></FONT></FONT>
</P>
</TD>
<TD WIDTH=215 BGCOLOR="#c0c0c0">
<P ALIGN=LEFT><A HREF="http://www.abtechsci.com/news.html"><SPAN STYLE="background: transparent"><B>Subscribe
to our eNewsletter</B></SPAN></A></P>
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<P ALIGN=CENTER STYLE="margin-bottom: 0in"><FONT COLOR="#800000"><FONT SIZE=1 STYLE="font-size: 8pt">Customer Service</FONT></FONT></P>
<P ALIGN=CENTER STYLE="margin-bottom: 0in"><FONT COLOR="#800000"><FONT SIZE=1 STYLE="font-size: 8pt">ABTECH
Scientific, Inc. </FONT></FONT>
</P>
<P ALIGN=CENTER STYLE="margin-bottom: 0in"><FONT SIZE=1 STYLE="font-size: 8pt"><FONT FACE="Wingdings"><FONT COLOR="#008080">n</FONT></FONT></FONT>
<FONT SIZE=1 STYLE="font-size: 8pt"><FONT FACE="Verdana, sans-serif">[email protected]
</FONT><FONT FACE="Wingdings"><FONT COLOR="#008080">n</FONT></FONT></FONT></P>
<P ALIGN=CENTER> </P>
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<P><FONT FACE="Verda na"><FONT SIZE=2>
<FONT COLOR = "RED"> <div id ="errormessage" style = "display:none;color = Red" > Required information is missing, incomplete or not correctly entered. Please correct your entries and try again.
</div> </FONT>
Required customer service
information:</FONT></FONT></P>
<P><FONT FACE="Verdana"><FONT SIZE=2>
<Font Color = "Red"> * </Font> <B>First name:</B><BR>
<INPUT TYPE=TEXT NAME="FIRST NAME" Id = "FIRSTNAME" SIZE=50 maxlength = 100>
<BR> <Font Color = "Red"> * </Font> <B>Last name:</B><BR>
<INPUT TYPE=TEXT NAME="LAST NAME" Id = "LASTNAME" SIZE=50 maxlength = 100>
<BR><B>Title:</B><BR>
<INPUT TYPE=TEXT NAME="TITLE" SIZE=50 maxlength = 100>
<BR><B>Department:</B><BR>
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<BR><B>Company/Organization:</B><BR>
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<B>Fax Number:</B> (if none, type "none") <BR><INPUT TYPE=TEXT NAME="FAX" ID = "FAX" SIZE=50 maxlength = 100></FONT></FONT></P>
</TD>
<TD ROWSPAN=6 WIDTH=215>
<P ALIGN=LEFT><FONT SIZE=1>ABTECH wishes to maintain a record of
the individuals requesting customer service information. This
record is for administrative purposes only. In the event of
changes or additions to our customer service package, ABTECH
will use this record to notify all requestors of changes or
additions.</FONT>
</P>
<P ALIGN=LEFT><FONT SIZE=1><STRONG>NOTE:</STRONG> It is
essential that you provide a complete and accurate mailing
address. The web-site version of our product catalogues do not
contain all the necessary technical support information. The
information package you receive contains details of product
specifications and application notes essential to the successful
use of our products. This information package and product
catalog will be mailed to the address you provide on this page.</FONT></P>
<P ALIGN=LEFT><FONT SIZE=1><B>If you are having problems with
this form:</B><BR>Be sure that your browser can handle forms. If
your browser cannot use this page, you may request customer
service information by sending an e-mail to <A HREF="mailto:[email protected]">[email protected]</A>
or traditional mail to:</FONT></P>
<P ALIGN=LEFT><FONT SIZE=1>Customer Service Department:<BR>ABTECH
Scientific, Inc.<BR>
</FONT><FONT FACE="Verdana"><FONT SIZE=1>Thank you.</FONT></FONT></P>
</TD>
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<TD WIDTH=227 HEIGHT=75 VALIGN=TOP>
<P ALIGN=CENTER STYLE="margin-bottom: 0in"> </P>
<P ALIGN=CENTER STYLE="margin-bottom: 0in"><FONT COLOR="#800000"><FONT SIZE=1 STYLE="font-size: 8pt">RESEARCH
AND OPERATIONS:</FONT></FONT></P>
<P ALIGN=CENTER STYLE="margin-bottom: 0in"><FONT COLOR="#800000"><FONT SIZE=1 STYLE="font-size: 8pt">ABTECH
Scientific, Inc. </FONT></FONT>
</P>
<P ALIGN=CENTER STYLE="margin-bottom: 0in"><FONT SIZE=1 STYLE="font-size: 8pt"><FONT FACE="Wingdings"><FONT COLOR="#800000">n</FONT></FONT>
Suite D-317 <FONT FACE="Wingdings"><FONT COLOR="#800000">n</FONT></FONT>
713 East Greenville Street <FONT FACE="Wingdings"><FONT COLOR="#800000">n</FONT></FONT>
Anderson <FONT FACE="Wingdings"><FONT COLOR="#800000">n</FONT></FONT>
South Carolina 29621 <FONT FACE="Wingdings"><FONT COLOR="#800000">n</FONT></FONT>
USA</FONT></P>
<P ALIGN=CENTER STYLE="margin-bottom: 0in"><FONT SIZE=1 STYLE="font-size: 8pt"><FONT FACE="Wingdings"><FONT COLOR="#008080">n</FONT></FONT></FONT>
<FONT SIZE=1 STYLE="font-size: 8pt"><FONT FACE="Verdana, sans-serif">[email protected]
</FONT><FONT FACE="Wingdings"><FONT COLOR="#008080">n</FONT></FONT></FONT></P>
<P ALIGN=CENTER STYLE="margin-bottom: 0in"><FONT FACE="Verdana, sans-serif"><FONT SIZE=1 STYLE="font-size: 8pt">Tel.:
+1 864 224 6047<BR>Fax.: +1 864 225 4761</FONT></FONT></P>
<P ALIGN=CENTER><BR>
</P>
</TD>
</TR>
<TR>
<TD WIDTH=227 HEIGHT=37 VALIGN=TOP>
<P><A HREF="http://www.vabio.org/"><FONT SIZE=1 STYLE="font-size: 8pt">Virginia
Biotechnology Association</FONT></A></P>
</TD>
</TR>
<TR>
<TD WIDTH=227 HEIGHT=37 VALIGN=TOP>
<P><A HREF="http://www.bio.org/"><FONT SIZE=1 STYLE="font-size: 8pt">BIO
- The Biotechnology Industry Organization</FONT></A>
</P>
</TD>
</TR>
<TR>
<TD WIDTH=227 HEIGHT=37 VALIGN=TOP>
<P><A HREF="http://www.mosis.org/"><FONT SIZE=1 STYLE="font-size: 8pt">The
MOSIS Service</FONT></A><FONT SIZE=1 STYLE="font-size: 8pt">:<BR>For
custom production of CMOS devices</FONT></P>
</TD>
</TR>
<TR>
<TD WIDTH=227 HEIGHT=37 VALIGN=TOP>
<P><BR>
</P>
</TD>
</TR>
</TABLE>
</DL>
<P ALIGN=CENTER><FONT FACE="Verdana"><FONT SIZE=2>Please check the
appropriate boxes:<BR><B>Applications:</B></FONT></FONT></P>
<DL>
<DL>
<DL>
<DL>
<DL>
<DL>
<DD>
<TABLE WIDTH=620 BORDER=0 CELLPADDING=0 CELLSPACING=0>
<COL WIDTH=212>
<COL WIDTH=187>
<COL WIDTH=221>
<TR>
<TD WIDTH=212>
<P><INPUT TYPE=CHECKBOX NAME="APPLICATIONS" VALUE="Food">
Food Industry</P>
</TD>
<TD WIDTH=187>
<P><INPUT TYPE=CHECKBOX NAME="APPLICATIONS" VALUE="EnvironDiagnostics">
Environmental Diagnostics</P>
</TD>
<TD WIDTH=221>
<P><INPUT TYPE=CHECKBOX NAME="APPLICATIONS" VALUE="AgriVet">
Agricultural/Veterinarian</P>
</TD>
</TR>
<TR>
<TD WIDTH=212>
<P><INPUT TYPE=CHECKBOX NAME="APPLICATIONS" VALUE="Immunochem">
Immunochemistry</P>
</TD>
<TD WIDTH=187>
<P><INPUT TYPE=CHECKBOX NAME="APPLICATIONS" VALUE="Forensics">
Forensics</P>
</TD>
<TD WIDTH=221>
<P><INPUT TYPE=CHECKBOX NAME="APPLICATIONS" VALUE="Microbiology">
Microbiology</P>
</TD>
</TR>
<TR>
<TD WIDTH=212>
<P><INPUT TYPE=CHECKBOX NAME="APPLICATIONS" VALUE="BioanalyticalChem">
Bioanalytical Chemistry</P>
</TD>
<TD WIDTH=187>
<P><INPUT TYPE=CHECKBOX NAME="APPLICATIONS" VALUE="BiomedDiagnostics">
Biomedical Diagnostics</P>
</TD>
<TD WIDTH=221>
<P><INPUT TYPE=CHECKBOX NAME="APPLICATIONS" VALUE="Other">
Other</P>
</TD>
</TR>
</TABLE>
</DL>
</DL>
</DL>
</DL>
</DL>
</DL>
<P ALIGN=CENTER><BR><B><FONT SIZE=2>Discipline:</FONT></B></P>
<CENTER>
<TABLE BORDER=0 CELLPADDING=0 CELLSPACING=2>
<TR>
<TD>
<P><INPUT TYPE=CHECKBOX NAME="DISCIPLINE" VALUE="Biosensors">
Biosensor Development</P>
</TD>
<TD>
<P><INPUT TYPE=CHECKBOX NAME="DISCIPLINE" VALUE="ChemSensors">
Chemical Sensor Development</P>
</TD>
<TD>
<P><INPUT TYPE=CHECKBOX NAME="DISCIPLINE" VALUE="Polymers">
Polymer Materials Characterization</P>
</TD>
</TR>
<TR>
<TD>
<P><INPUT TYPE=CHECKBOX NAME="DISCIPLINE" VALUE="Electrochemistry">
Micro Electrochemistry</P>
</TD>
<TD>
<P><INPUT TYPE=CHECKBOX NAME="DISCIPLINE" VALUE="HPLC/LCDetectors">
HPLC/LC Detection</P>
</TD>
<TD>
<P><INPUT TYPE=CHECKBOX NAME="DISCIPLINE" VALUE="Conductimetry">
Conductimetry</P>
</TD>
</TR>
</TABLE>
</CENTER>
<P ALIGN=CENTER><BR><BR>
</P>
<CENTER>
<TABLE WIDTH=80% BORDER=0 CELLPADDING=0 CELLSPACING=2>
<TR>
<TD WIDTH=100%>
<P><B>Please send me Product Literature on:</B></P>
<P><INPUT TYPE=CHECKBOX NAME="LITERATURE" VALUE="EPSIS">
<FONT SIZE=2>EPSIS - Electroactive Polymer Sensor Interrogation System<BR>
<INPUT TYPE=CHECKBOX NAME="LITERATURE" VALUE="EPMES"> EPMEs - Electroactive Polymer Transducers <BR>
<INPUT TYPE=CHECKBOX NAME="LITERATURE" VALUE="IMES"> IMEs - Interdigitated Microsensor Electrodes<BR>
<INPUT TYPE=CHECKBOX NAME="LITERATURE" VALUE="IAME/IAIME"> IAMEs and IAIMEs - Independently Addressable Microband Electrodes<BR>
<INPUT TYPE=CHECKBOX NAME="LITERATURE" VALUE="ECCS">ECCs - Electrochemical Cell-on-a-Chip<BR>
<INPUT TYPE=CHECKBOX NAME="LITERATURE" VALUE="MDEAS">MDEAs - Microdisc Electrode Arrays<BR>
<INPUT TYPE=CHECKBOX NAME="LITERATURE" VALUE="Accessories">Accessories Catalog - The Laboratory Products Group<BR>
<INPUT TYPE=CHECKBOX NAME="LITERATURE" VALUE="BioSenSys">BioSenSys - Handheld Diagnostics Workstation<BR>
<BR>
<B>I have other questions/comments:</B>
<BR>
<TEXTAREA NAME="COMMENTS" ></TEXTAREA>
</FONT>
</P>
</TD>
</TR>
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<FONT SIZE=2>and start again</FONT></P>
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<P ALIGN=CENTER><FONT SIZE=1><FONT FACE="Verdana, Arial"><B>Contact:
Ann M. Wilson, </B>Manager, <BR>Applications Development, ABTECH
Scientific, Inc.<BR>
800 East Leigh Street, Richmond,
Virginia 23219<BR>
Telephone Number: +1-804-783-7829 Fax Number:
+1-804-783-7830<BR>e-mail: <A HREF="mailto: [email protected]">[email protected]</A></FONT></FONT></P>
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