Pipette Order Form Name First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email PhonePipettesPicus® NXTSelectLH-745021LH-745041LH-745061LH-745081LH-745101LH-745111LH-745321LH-745421LH-745341LH-745441LH-745361LH-745461LH-745391LH-745491QuantityPicus®Select735021735041735061735081735101735111735321735421735341735441735361735461735391735491QuantityTacta®SelectLH-729010LH-729020LH-729030LH-729050LH-729060LH-729070LH-729080LH-729090LH-729120LH-729130LH-729140LH-729220LH-729230LH-729240QuantityTacta® Multi-PacksSelectLH-729670LH-729671LH-729672LH-729673LH-729674LH-729675LH-729676LH-729677QuantityProline® Plus Multi-PacksSelectLH-728670LH-728671LH-728672LH-728673LH-728674LH-728675LH-728676LH-728677QuantityPipette StandsLH-725630725620LH-727640QuantityCAPTCHA Δ