Molecular

Filter Order Form

Microscope filter sets are custom manufactured to fit the dimensions required by each type of microscope and filter wheel. Filters are manufactured as matched sets consisting of the excitation filter, dichroic filter, and emission filter. As such, it is necessary to provide all of the required information, as requested below,when ordering filter sets. Without the appropriate information, the correct microscope filter cannot be manufactured. In addition, delays in order processing due to inaccurate or incomplete information will delay the fulfillment of the filter set order.

If you have questions about microscope filter sets or the appropriate configuration for your laboratory's specific needs, please contact Abbott Molecular Technical Support.

To place an order for a micropsope filter set(s), provide the information requested below and click "submit".

Customer Information

Institute/Customer Name:

Customer Number:

Contact Name:

Address:

Country:

State:

City:

Zip Code:

Purchase Order Number:

Phone Number:

Fax Number:

Email Address:

Shipping Address

Use the same address for shipping

Yes No

Address:

Country:

State:

City:

Zip Code:

Phone Number:

Fax Number:

Microscope

Microscope Manufacturer:

Type Or Model Of Microscope:

Approximate age of the microscope:

Check all that apply

Filters are part of a detached unit separate from microscope, and filter unit is part of a computerized system known as Filter Wheel.
All filter sets are mounted in sliders.

Max number of filter sets that the slider holds

Number of filters currently in the slider

Filter cube is for a Zeiss Axio Model microscope, the cubes are

Filters added by

Filter sets are mounted in a revolving turret in the head of the microscope.
The microscope is attached to a computerized imaging system.

The imaging system was purchased from:

Answer if a filter wheel is used to house the exciter filters

Filter Wheel Diameter

Number of filters currently in the slider

Number of empty slots in the filter wheel(s)

Filter wheel manufacturer

Action

Bandpass 1

Bandpass

Fluorophores

Mounting

Quantity

+ Add another Bandpass

Comments:

Molecular

Molecular

Filter Order Form

Customer Information

Shipping Address

Microscope

Check all that apply

Answer if a filter wheel is used to house the exciter filters

Action

Bandpass 1

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