Sample Evaluation Form


Sample Evaluation Form

MACHEREY-NAGEL appreciates your feedback on the sample kit you have tested.
We are continuously working to improve our product quality and customer service.

Your contact information:


All fields marked with an asterisk (*) are required.


Your application:



Your results:



Your opinion:

How did you become aware of the possibility of
testing a free sample from MN?


Thank you for filling out this form. Your feedback is highly appreciated!

 *10$ gift card is only available for US-customers

Enter the code shown above
* Required
Copyright 2019 by MACHEREY-NAGEL GmbH & Co. KG   Imprint / Impressum Privacy StatementTerms Of Use