Custom Request

Please fill in the following fields as best as possible. After filling out the form click the ‘Submit’ button at the bottom of this page. Please allow up to 2 business days four our team to review your request and respond accordingly.
  • Date of request
  • Title
  • First name *
  • Last name *
  • Job title
  • Company/Institute *
  • Department
  • Address line 1 *
  • Address line 2
  • City *
  • State
  • Post code
  • Country *
  • Telephone
  • Fax
  • E-mail *

  • Application
  • Please briefly describe the application *
  • Specifications
  • Glass Type
  • Other Glass Type
  • Glass Format
  • Other Glass Format
  •  
  • Glass Dimensions:
  • Length (mm)
  • Width (mm)
  • Diameter (mm)
  •  
  • Thickness (mm)
  • Other thickness in mm (with required tolerance)
  • Please note: not all glass types are available in all the thicknesses listed.
  • Describe critical areas:
  • Critical Dimension
  • Edge finish required
  • Other edge finishing
  • Other corner finishing
  • Glass coating required
  • Other glass coating
  • Please give specific details of any additional processing steps, such as drilling (round or rectangular holes). Creation of caverns or channels:
  • Additional Processing
  • Barcode Option
  • Other Barcode Option
  • Sequenced Barcode
     Not required
     Yes:
  • Sequence required
  • Barcode color
  • Please specify size and location:
  • Barcode position
  • Logo
  • If Yes, please specify logo type, size and location:
  • Logo color
  • Well patterns printing with permanent hydrophobic ink
  • Please give dimensions and locations of the wells required:
  • Detailed specification for optical coating
  • Please note! We have a minimum order value of EUR 300 / USD 300.
  • Number of pieces required *
  • Annual Usage
  • Other Comments
  •  Send me a copy
  •  I agree that SCHOTT Technical Glass Solutions GmbH sends me e-mails containing information on special glass and glass ceramics products. My data will not be passed on to third parties. After the registration, I can revoke this consent at any time. A revocation of the consent can be sent to unsubscribe@
     
    mailing.schott.com
    or by fax or by post. Furthermore, I have the possibility to revoke this consent by using the cancel link in every e-mail.
  • * = Mandatory entry

SCHOTT Technical Glass Solutions GmbH promises that all data entered into a web form will only be used for internal purposes. For more detailed information, please refer to our data protection guidelines.

Trade Fairs & Events
31.
July
Trade fair 70th AACC Annual Scientific Meeting & Clinical Lab Expo, McCormick Place - Chicago, IL, USA, 31.07 - 02.08.2018
01.
October
Trade fair Lab-on-a-Chip and Microfluidics World Congress 2018, Coronado Island, San Diego, CA, USA, 01.10 - 03.10.2018
12.
November
Trade fair COMPAMED, Duesseldorf, Germany, 12.11 - 15.11.2018
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