Request for Information: Argon-Ion Laser Requestor’s name (required) Requestor’s email address (required) Requestor’s job title or responsibilities (required) Requestor’s telephone number (optional) Requestor’s company (optional) Job site location (optional) Which laser are you interested in? (required) 30mW75mW Questions that requestor has for this product? (optional) Other information requestor would like to receive on this product (please specify). (optional) Please provide any other relevant information that requestor feels may be helpful in gaining a better understanding of the problem requestor is trying to solve. (optional) Please call me to discuss my application. Notes: We will treat any information you give us as confidential. The more information you can give us the better chance we have of helping you solve your contamination problem.