Instrument Demo Information FormPlease enable JavaScript in your browser to complete this form.Name *FirstLastTitleInstitution or Company Name, City, State, CountryEmail *Please select your instruments of interest *- Please select -NS-NEELNS-KAYRANS-TARAInterested in OCT Guided ERG (NS-NEEL) and Irradiation (NS-TARA) or Gene Delivery Laser (NS-KAYRA)OCT Imaging Specimen (Most Commonly Used)RodentRabbitPigMonkeyHumanOther AnimalCell LinesGene TherapyIf Other Animal Please List BelowElectrophysiology RequirementNot RequiredRodentRabbitPigMonkeyHumanOther AnimalCell LinesGene TherapyOCT Guided Irradiation RequiredNoYesNot SureCurrent OCT (or ERG, Irradiation or Gene Delivery Laser Used)Demo Preference LocationOnsite at InstitutionVirtual via InternetDemo Preference Date & Time #1Demo Preference Date & Time #2Please share any other information regarding your instrumentation needsSubmit
