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				<div class="alert alert-info" role="alert">
		
					<p>Fill out your contact details and receive price quotes in your Inbox.</p>
					
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					<form action="xa/products/buy" method="post"  class="large odf_ajax">
	<input type="hidden" name="combo_id" value="7287">
<input type="hidden" name="product_id" value="3276">
<input type="hidden" name="product_title_text" value="FaqI (BsmFI) (2 U/µL) (Thermo Fisher Scientific)">
	<table class="key_value">
		<tbody>
									<tr class="">
							<th>
								<label for="2q9IBTa17436387807844">Product</label>
																							</th>
							<td >
								<span >FaqI (BsmFI) (2 U/µL) (Thermo Fisher Scientific)</span>
							</td>
						</tr>
												<tr class="">
							<th>
								<label for="FYuuSFVt17436387807851">Your name</label>
																	<span class="required_input">*</span>
																							</th>
							<td >
								<input type="text" name="name" value="" placeholder="Your name">
							</td>
						</tr>
												<tr class="">
							<th>
								<label for="v5lIRsg17436387807852">Your E-mail</label>
																	<span class="required_input">*</span>
																							</th>
							<td >
								<input type="text" name="email" value="" placeholder="Your E-mail">
							</td>
						</tr>
												<tr class="">
							<th>
								<label for="ecO5KXRG17436387807853">Your phone number</label>
																							</th>
							<td >
								<input type="text" name="phone" value="" placeholder="Your phone number">
							</td>
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									<tr>
				<th></th>
				<td><button type="submit" class="btn btn-success btn-large">Submit</button></td>
			</tr>
		</tbody>
	</table>
</form>
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