Request Quote

To receive a formal quotation with a shipping estimate, send in the form below.

Today's Date
Date Format: MM slash DD slash YYYY
Your Name*
First Last
Your Company/Organization*
Your Email*
Shipping Estimate Information (complete address not needed for quote)*
City State / Province / Region ZIP / Postal Code Country
Is shipping address residential?*
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Product Number x Quantity (Example: CBT-ECTC-MPN-100 x 5)*
Your Phone
Your Delivery Deadline
Date Format: MM slash DD slash YYYY
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Pricing

Contact Aquagenx for pricing information.

Customers pay for shipping, customs/duty fees when shipped outside of the USA and any fees associated with delivery.

Consignees are responsible for obtaining required import permits before shipping.