{"id":23843,"date":"2023-04-11T12:42:56","date_gmt":"2023-04-11T16:42:56","guid":{"rendered":"https:\/\/genomequebec.wp.vortexdev.com\/?post_type=service&#038;p=23843"},"modified":"2023-06-10T00:03:42","modified_gmt":"2023-06-10T04:03:42","slug":"request-a-quote","status":"publish","type":"service","link":"https:\/\/genomequebec.wp.vortexdev.com\/en\/technological-services\/request-a-quote\/","title":{"rendered":"Request a Quote"},"content":{"rendered":"\n<p>To request a quote, please complete and submit the form below. If you have any questions, please do not hesitate to contact the <a href=\"mailto:infoservices@genomequebec.com\" data-type=\"mailto\" data-id=\"mailto:infoservices@genomequebec.com\" target=\"_blank\" rel=\"noreferrer noopener\">Client Management Office<\/a>. <\/p>\n\n\n\n<p><br>(Fields marked with * are mandatory)<\/p>\n\n\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_6' ><div id='gf_6' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Quote request form<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/en\/wp-json\/wp\/v2\/service\/23843#gf_6' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><fieldset id=\"field_6_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--name gfield--name gfield--has-multiple-inputs\"  data-field-class=\"gfield--name gfield--name gfield--has-multiple-inputs\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Identity<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_6_1'>\n                            \n                            <span id='input_6_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_6_1_3' class='gform-field-label gform-field-label--type-sub '>First name<\/label>\n                                                    <input type='text' name='input_1.3' id='input_6_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_6_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_6_1_6' class='gform-field-label gform-field-label--type-sub '>Name<\/label>\n                                                            <input type='text' name='input_1.6' id='input_6_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_6_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--email gfield--email gfield--has-multiple-inputs\"  data-field-class=\"gfield--email gfield--email gfield--has-multiple-inputs\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_6_2_container'>\n                                <span id='input_6_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_6_2' class='gform-field-label gform-field-label--type-sub '>Enter an email address<\/label>\n                                    <input class='' type='email' name='input_2' id='input_6_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <span id='input_6_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_6_2_2' class='gform-field-label gform-field-label--type-sub '>Confirm the email address<\/label>\n                                    <input class='' type='email' name='input_2_2' id='input_6_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_6_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_6_5'>Phone number<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_6_5' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_6_6'>Name of principal researcher<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_6_6' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_6_7'>Principal researcher&#039;s email address<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_6_7' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_6_8'>Institution<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_6_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_6_9'>Country<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_6_9' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_11\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--section gfield--section\"  data-field-class=\"gfield--section gfield--section\" ><h3 class=\"gsection_title\">Projects<\/h3><\/div><div id=\"field_6_3\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--textarea gfield--textarea\"  data-field-class=\"gfield--textarea gfield--textarea\" ><label class='gfield_label gform-field-label' for='input_6_3'>General description of the project<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_3' id='input_6_3' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_6_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_6_12'>Specie(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_6_12' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_6_13'>Number of samples<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_6_13' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_18\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--select gfield--select\"  data-field-class=\"gfield--select gfield--select\" ><label class='gfield_label gform-field-label' for='input_6_18'>Do you need a DNA extraction service?<\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_6_18' class='large gfield_select'     aria-invalid=\"false\" ><option value='Oui' >Oui<\/option><option value='Non' >Non<\/option><\/select><\/div><\/div><fieldset id=\"field_6_15\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--checkbox gfield--checkbox gfield--has-multiple-inputs\"  data-field-class=\"gfield--checkbox gfield--checkbox gfield--has-multiple-inputs\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Which application(s) are you interested in?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_15'><div class='gchoice gchoice_6_15_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.1' type='checkbox'  value='Genome sequencing (whole genome, re-sequencing, de novo sequencing)'  id='choice_6_15_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_1' id='label_6_15_1' class='gform-field-label gform-field-label--type-inline'>Genome sequencing (whole genome, re-sequencing, de novo sequencing)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_15_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='Targeted sequencing (Exome Seq, ChIP Seq, Amplicons)'  id='choice_6_15_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_2' id='label_6_15_2' class='gform-field-label gform-field-label--type-inline'>Targeted sequencing (Exome Seq, ChIP Seq, Amplicons)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_15_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.3' type='checkbox'  value='RNA analysis (RNA Seq, Biochips)'  id='choice_6_15_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_3' id='label_6_15_3' class='gform-field-label gform-field-label--type-inline'>RNA analysis (RNA Seq, Biochips)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_15_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.4' type='checkbox'  value='Genotyping (iPLEX Gold, Biochips, TaqMan)'  id='choice_6_15_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_4' id='label_6_15_4' class='gform-field-label gform-field-label--type-inline'>Genotyping (iPLEX Gold, Biochips, TaqMan)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_15_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.5' type='checkbox'  value='Methylation analysis (EpiTYPER, PyroMark, Sequencing)'  id='choice_6_15_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_5' id='label_6_15_5' class='gform-field-label gform-field-label--type-inline'>Methylation analysis (EpiTYPER, PyroMark, Sequencing)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_15_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.6' type='checkbox'  value='Metagenomics (Amplicons, Shotgun approach for DNA and RNA)'  id='choice_6_15_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_6' id='label_6_15_6' class='gform-field-label gform-field-label--type-inline'>Metagenomics (Amplicons, Shotgun approach for DNA and RNA)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_16\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--textarea gfield--textarea\"  data-field-class=\"gfield--textarea gfield--textarea\" ><label class='gfield_label gform-field-label' for='input_6_16'>What is the aim of your project?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_6_16' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_6_17\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--select gfield--select\"  data-field-class=\"gfield--select gfield--select\" ><label class='gfield_label gform-field-label' for='input_6_17'>Do you need bioinformatics analysis services?<\/label><div class='ginput_container ginput_container_select'><select name='input_17' 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