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CUSTOM PEPTIDE SYNTHESIS

Quotation Request Form
1. Please enter your details below
Title* First Name*    Last Name*
   
Company/Institution name* Job Title
Address* (for peptide delivery)
Telephone Number*

Fax Number

Email Address*

Web site address

 

2. Product Details
Purity*
Crude     >85%     >90%     >95%      >98%      >99%
Other 

Quantity*
1-4mg  5-9mg 10-14mg 15-19mg
20-24mg 25mg 50mg 100mg

Other

Sequence(s)
Please use standard 3 or 1 letter abbreviations Click Here

1 N Terminal  C Terminal

2 N Terminal  C Terminal

3 N Terminal  C Terminal

4 N Terminal  C Terminal


Conjugation:  mg

Carrier:  KLH BSA    Others


Additional analytical data
Amino acid analysis LCMS data
Elemental analysis NMR analysis
Ion determination Optical rotation
Water content    

3. Special requirements
Please enter any special requirements you have in the box below.

How would you like your quotation
 By email
 By Fax (don't forget to fill your fax number in section 1 of this form)
4. Click on SEND to submit your enquiry

 
 
Custom Peptide Synthesis
Quotation Form
Terms and Conditions