Name and address of the Customer :
Institution / Department :
Phone :
Email :
Name of Equipment :	Freeze Dryer / Lyophilizer
How many kg or liters should max. be freeze dried? What is to be freeze dried (e.g.albumin, tissue, bacteria etc.) What is the proportion of the solid matter to the total vol in % What is the consistency of the product to be freeze dries (thin liquid, thick liquid, solid) If solid what size? How much residual moisture is allowed to be present in the dried product? Have you had experience in freeze drying of this particular product? What is your openion of è The quality of the dried product? è The freeze dryer unit used? Which vessels are to be used for freeze drying? (vials, dishes, ampoules etc.) Is sealing under vacuum required? Is sealing under nitrogen required?