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Request for quotation form

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State		Non US ALABAMA ALASKA AMERICAN SAMOA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FEDERATED STATES OF MICRONESIA FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARSHALL ISLANDS MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA NORTHERN MARIANA ISLANDS OHIO OKLAHOMA OREGON PALAU PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING
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	Instead of completing the questionnaire I will send my detailed application description to C2V
Please describe your product or service needs in detail.
Application
Gas components and concentration ranges
Matrix gas
Number of instruments required
Channel Column Carrier gas Channel 1 - GCC-200-PDMS GCC-200-U-BND GCC-200-QS-BND GCC-200-MS5A-BND GCC-200-CSTM - Helium Nitrogen Argon Hydrogen Channel 2 * - GCC-200-PDMS GCC-200-U-BND GCC-200-QS-BND GCC-200-MS5A-BND GCC-200-CSTM - Helium Nitrogen Argon Hydrogen Channel 3 * - GCC-200-PDMS GCC-200-U-BND GCC-200-QS-BND GCC-200-MS5A-BND GCC-200-CSTM - Helium Nitrogen Argon Hydrogen Channel 4 * - GCC-200-PDMS GCC-200-U-BND GCC-200-QS-BND GCC-200-MS5A-BND GCC-200-CSTM - Helium Nitrogen Argon Hydrogen
*Channels 2 untill 4 are optional, configurable according to your needs
	Quote stream selector option on first channel. (This enables software controlled switching between 2 sample gas streams, e.g. sample and calibration gas)
	Quote sample vacuum pump option for last channel. (This enables introduction of air/headspace samples into the GC) .
Budget		- < 10.000 10.000 - 50.000 50.000 - 100.000 > 100.000
Purchasing timeframe		- ASAP 3 months 6 months 1 year
	Please keep me updated by e-mail