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   <TITLE>ABTECH Scientific, Inc., - Customer service</TITLE>
   <META NAME="keywords" CONTENT="bioelectronics, biosensors, immunosensors, enzyme sensors, sensors, biochip, biochips, cancer, brain tumor, diagnostics, DNA, chips, arrays, microarrays, mems, biomems, enzymes, antibodies, molecular electronics">
   <META NAME="DESCRIPTION" CONTENT="Advanced Biosensor Technology - chemical and biological sensor devices, instruments, and systems.">
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<H1 ALIGN=RIGHT><B><FONT SIZE=5>Customer
</FONT></B><FONT SIZE=4>SERVICE</FONT><A HREF="company%20profile.html"
TARGET="Main Page"><IMG SRC="gifs/LOGOSCN2.gif" WIDTH=100 HEIGHT=50
BORDER=0 ALIGN=bottom></A></H1>

<P><HR>For Customer Service information, please fill in the following
form.</P>

<P><HR>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.</P>

<P><STRONG>NOTE:</STRONG> It is essential that you provide a complete
and accurate mailing address. This web-site version of our product
catalogues do not contain all the necessary 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.</P>

<P><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 Customer Service Department,  ABTECH Scientific,
Inc., P.O. 376, Yardley, PA 19067 USA (or FAX: +1 215 321 7099).</P>

<P>Thank you.<HR>Required information:</P>
<FORM METHOD="POST" ACTION="http://cgibin.erols.com/erols/cgi-bin/FormMail.pl"><input type=hidden name="recipient" value="[email protected]"><input type=hidden name="subject" value="Feedback from Abtech Website"><input type=hidden name="redirect" value="http://www.abtechsci.com/customserv.html">
<B>First name:</B><BR><INPUT TYPE="text" NAME="zz_first_name" SIZE=50 maxsize=200><BR><BR>
<B>Last name:</B><BR><INPUT TYPE="text" NAME="zz_last_name" SIZE=50 maxsize=200><BR><BR>
<B>Title:</B><BR><INPUT TYPE="text" NAME="zz_pos" SIZE=50 maxsize=200><BR><BR>
<B>Department:</B><BR><INPUT TYPE="text" NAME="zz_department" SIZE=50 maxsize=200><BR><BR>
<B>Company/Organization:</B><BR><INPUT TYPE="text" NAME="zz_company" SIZE=50 maxsize=200><BR><BR>
<B>Street Address:</B><BR><INPUT TYPE="text" NAME="zz_street" SIZE=50 maxsize=200><BR><BR>
<B>City:</B><BR><INPUT TYPE="text" NAME="zz_city" SIZE=50 maxsize=200><BR><BR>
<B>State: &nbsp;&nbsp;&nbspZip: </B><BR><INPUT TYPE="text" NAME="zz_state" SIZE=2 maxsize=20>&nbsp;&nbsp<INPUT TYPE="text" NAME="zz_zip" SIZE=10 maxsize=20><BR><BR>
<B>Country:</B><BR><INPUT TYPE="text" NAME="zz_country" SIZE=50 maxsize=200><BR><BR>
<B>Email:</B> (if none, type "none")<BR><INPUT TYPE="text" NAME="zz_email_address" SIZE=50 maxsize=100><BR><BR>
<B>Voice Number:</B> (if none, type "none") <BR> <INPUT TYPE="text" NAME="zz_voice" SIZE=50 maxsize=100><BR><BR>
<B>Fax Number:</B> (if none, type "none") <BR> <INPUT TYPE="text" NAME="zz_fax" SIZE=50 maxsize=100><BR>
<H3>Please check the appropriate boxes:</H3>

<B>Applications:</B><BR><TABLE>
<TR><TD><INPUT TYPE="checkbox" NAME="zz_food_ind" VALUE="checked"> Food Industry </TD>
<TD><INPUT TYPE="checkbox" NAME="zz_envir_diag" VALUE="checked"> Environmental Diagnostics</TD>
<TD><INPUT TYPE="checkbox" NAME="zz_ag_vet" VALUE="checked"> Agricultural/Veterinarian</TD>
</TR><TR><TD><INPUT TYPE="checkbox" NAME="zz_immunology" VALUE="checked"> Immunology </TD>
<TD><INPUT TYPE="checkbox" NAME="zz_forensics" VALUE="checked"> Forensics</TD>
<TD><INPUT TYPE="checkbox" NAME="zz_microbio" VALUE="checked"> Microbiology </TD>
</TR><TR><TD><INPUT TYPE="checkbox" NAME="zz_bio_chem" VALUE="checked"> Bioanalytical Chemistry </TD>
<TD><INPUT TYPE="checkbox" NAME="zz_biomed_diag" VALUE="checked"> Biomedical Diagnostics</TD>
<TD><INPUT TYPE="checkbox" NAME="zz_other" VALUE="checked"> Other </TD>
</TR>
</TABLE><BR>
<B>Discipline:</B><BR><TABLE>
<TR><TD><INPUT TYPE="checkbox" NAME="zz_bio_dev" VALUE="checked"> Biosensor Development </TD>
<TD><INPUT TYPE="checkbox" NAME="zz_chem_dev" VALUE="checked"> Chemical Sensor Development</TD>
<TD><INPUT TYPE="checkbox" NAME="zz_poly_mat" VALUE="checked"> Polymer Materials Characterization</TD>
</TR><TR><TD><INPUT TYPE="checkbox" NAME="zz_micro_electro" VALUE="checked"> Micro Electrochemistry </TD>
<TD><INPUT TYPE="checkbox" NAME="zz_hplc_lc" VALUE="checked"> HPLC/LC Detection</TD>
<TD><INPUT TYPE="checkbox" NAME="zz_cond" VALUE="checked"> Conductimetry</TD>
</TR> 
</TABLE><BR>
<H3>Please send me Product Literature on:</H3>
<INPUT TYPE="checkbox" NAME="zz_epsis" VALUE="checked"> EPSIS - Electroactive Polymer Sensor Interrogation System<BR>
<INPUT TYPE="checkbox" NAME="zz_epmes" VALUE="checked"> EPMEs - Electroactive Polymer Transducers<BR>
<INPUT TYPE="checkbox" NAME="zz_imes" VALUE="checked"> IMEs - Interdigitated Microsensor Electrodes<BR>
<INPUT TYPE="checkbox" NAME="zz_acc_cat" VALUE="checked"> Accessories Catalog - The Laboratory Products Group<BR>
<INPUT TYPE="checkbox" NAME="zz_bio_sen_sys" VALUE="checked"> BioSenSyse - Environmental Diagnostics Workstation<BR><BR>
<B>I have other questions/comments:</B><BR>
<TEXTAREA NAME="zz_comments" ROWS=5 COLS=50 maxsize=400></TEXTAREA><BR><BR>   
<P><INPUT TYPE="submit" VALUE="Submit Form"> <INPUT TYPE="reset" VALUE="Clear Form"> and start again</P>
</FORM>
<CENTER><TABLE WIDTH=90% border=0 cellpadding=5><TD><CENTER><SMALL><FONT COLOR="#0000FF" FACE="Verdana,Arial"><SMALL><A href="news.html">News and Noteworthy</A> || <A href="companyprofile.html">Company Profile</A> || <A href="rdcapabilities.html">R & D Capabilities</A> || <A href="labproducts.html">Lab Products</a> || <A href="advancedproducts.html">Advanced Products</A> || <A href="directory.html">Company Directory</A> || <A HREF="people.html">Personnel Bio's</A> || <A HREF="employop.html">Career Opportunities</A> || <A href="pressre.html">Press Releases</A> || <A href="invstrel.html" >Investor Relations</A> || <A HREF="links.html">Related Links</A> || <A HREF="files.html">Download Files</A> || <A HREF="pricelist.html" >Price Lists</A></SMALL></FONT></SMALL></CENTER></TD></TABLE></CENTER>
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