Provide a referral of another person who actually purchases a FastPrep-24™ 5G System and receive $1,000 or $1,000 in consumables.

Please provide your name and contact information and the person's name and contact information you are referring for potentially purchasing a FastPrep-24™ 5G System. Thank you for your participation in our referral program. We greatly appreciate it.
Please provide the contact information below about yourself
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Please fill out the name and contact information below about the person you are referring who has an interest in purchasing a FastPrep-24™ 5G System.
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The FastPrep-24™ 5G Referral Program provides $1,000 or $1,000 in consumables reward only if the referred person or lab actually purchases a FastPrep-24™ 5G System and does not return the system. Also, receipt of the $1,000 or $1,000 in consumables award will be provided after 3 months of delivery date of the purchased FastPrep-24 5G™ system in the referred person's lab. This will be provided and reported as 1099 income.