Nanopoint Inc.
900 Fort Street Mall
Suite A20
Honolulu, HI 96813

Phone: (808) 457-1145
Fax: (808) 537-4245

Complete this form to request membership in Nanopoint's cellTRAY Connect.

Company Name: Company Address: Company Address: Company City: Company State/Province: Company Postal/Zip Code: Company Country: Web Site:

Contact: Title / Position: Contact Phone Number: Contact Fax Number: Contact Email Address: How did you learn about Nanopoint: In Person at Tradeshow Via Email Telephone call Web Search Referral Other Best method to contact you: Email Telephone

Years in Business: Less Than 3 years 3 - 5 years 6 - 10 years 11 - 15 years More than 16 years Number of Employees: Under 5 5 - 10 10 - 20 20 - 50 50 - 100 100 - 500 More than 500 Annual Sales Revenue: Less than $100,000 $100,000 - $250,000 $250,000 - $500,000 $500,000 - $1,000,000 $1 - $5 Million $5 - $10 Million More than $10 Million

Size of market serviced: State / Province Multi State Countrywide Continentwide Global Type of Company Choose an Option Distributor Value Added Reseller Systems Integrators Technology Partners Educational Supplies Other

What is your one primary Product Category:

Assays, Reagents, Chemicals Imaging Systems Laboratory Supplies Microscopy Scanners & Readers Other

What is your best selling product:

What markets do you Primarily service:

Small Pharma Markets Large Pharma Markets Government Research Labs University Research Labs Other

How many new products do you introduce a year

1 - 5 5 - 10 more than 10

What Nanopoint products interest you:

cellTRAY Dish
cellTRAY Slide
cellTRAY Imaging System
cellTRAY Microfluidics Systems
Other Products

What markets do you Primarily service:

Small Pharma Markets Large Pharma Markets Government Research Labs University Research Labs Other

What is your primary focus area:

Automation & Robotics Liquid Handling Efficiency, Low Volunes High Throughput Screening Consulting Market Research Other

What Nanopoint products interest you:

cellTRAY Dish
cellTRAY Slide
cellTRAY Imaging System
cellTRAY Microfluidics Systems
Other Products

What markets do you Primarily service:

Small Pharma Markets Large Pharma Markets Government Research Labs University Research Labs Other

What is your primary product line:

What solutions are you looking for:

Cell Containment, Micro Arrasy
Miniaturization, Small Volumes
Imaging Systemns
Microfluidics Systems

What Nanopoint products interest you:

cellTRAY Dish
cellTRAY Slide
cellTRAY Imaging System
cellTRAY Microfluidics Systems
Other Products

What Grade Levels do you service:

Elementary Schhols
Middle Schools
High Schools
Colleges and Universities

What types of products do you sell:

General Lab Supplies
Turn Key Test Kits
Educational Equipment
Other Educational Tools

What is your best selling product:

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