DE_BPT_Enquiry

Please fill out the form below to provide additional information about your request. If you
have any questions, please email us here to speak with a Business Development representative.

To find out more about how Eurofins protects your data and what rights you have as our customer, please read our privacy notice.

Name

First Name/ VornameLast Name/ Nachname

First Name / Vorname

Last Name / Nachname*

Title / Titel

Company / Unternehmen*

Phone Number / Telefonnummer

Email / Mailadresse*

example@example.com

Industry / Industrie

Country/ Land*

Adresse*

Adresse

City / Stadt

Zip Code / Postleitzahl

Substance to be tested / Zu testende Substanz *

Service you are interested in / Services von Interesse *

Please describe / Beschreibung

Please describe (Service) / Beschreibung

Tell us more about your request and your timeline / Bitte geben Sie uns nähere Informationen zu Ihrer Anfrage und der Timeline:

We need details about your substance and the level of safety. Please send us an "MSDS" and other information about the security level of your product!

Wir benötigen nähere Informationen zur Substanz und dem entsprechenden Safety Level. Bitte senden Sie uns das MSDS oder Informationen zum Sicherheitslevel des Produkts!

Upload MSDS, Stability Plan or File

Browse Files

By submitting this form you confirm that you have received, read and understood the privacy notice provided above. / Ich habe die Datenschutzhinweise erhalten, gelesen und verstanden.

Enter the text as shown / Bitte geben den Text unten ein *