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Custom Peptide Service

Contact Form

Please note that required fields are marked with *
First Name*:   Surname*:
Email*:   Company*:
Title:   Position:
Address Line 1:
Address Line 2:
Postcode*:   County:
Telephone:   Purchase Order No.
      Quote Reference Number:
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Peptide Sequence 1

Peptide Name:  
Quantity:  
Purity:  
Number of Peptides:  
Amino Acid Sequence:   Examples:
KCLLPTA : Peptide 1
DAIKHETVK : Peptide 2
EPKVTIAQ : Peptide 3
PGEKLLHAETA : Peptide 4
    Amino Acid Abbreviations

Modifications

N-Terminal C-Terminal
Conjugation Label
Phosphorylation Yes No Please abbreviate accordingly (pSer, pTyr, pThr)
Methylation Yes No Please abbreviate accordingly (methyl-Arg, methyl-Lys, etc)
Aliquot Yes No  
 
Delivery & Invoice Address (If Different from Above)
 
Notes/Additional Comments

Peptide Sequence 2

Peptide Name:  
Quantity:  
Purity:  
Number of Peptides:  
Amino Acid Sequence:   Examples:
KCLLPTA : Peptide 1
DAIKHETVK : Peptide 2
EPKVTIAQ : Peptide 3
PGEKLLHAETA : Peptide 4
    Amino Acid Abbreviations

Modifications

N-Terminal C-Terminal
Conjugation Label
Phosphorylation Yes No Please abbreviate accordingly (pSer, pTyr, pThr)
Methylation Yes No Please abbreviate accordingly (methyl-Arg, methyl-Lys, etc)
Aliquot Yes No  
 
Delivery & Invoice Address (If Different from Above)
 
Notes/Additional Comments

Peptide Sequence 3

Peptide Name:  
Quantity:  
Purity:  
Number of Peptides:  
Amino Acid Sequence:   Examples:
KCLLPTA : Peptide 1
DAIKHETVK : Peptide 2
EPKVTIAQ : Peptide 3
PGEKLLHAETA : Peptide 4
    Amino Acid Abbreviations

Modifications

N-Terminal C-Terminal
Conjugation Label
Phosphorylation Yes No Please abbreviate accordingly (pSer, pTyr, pThr)
Methylation Yes No Please abbreviate accordingly (methyl-Arg, methyl-Lys, etc)
Aliquot Yes No  
 
Delivery & Invoice Address (If Different from Above)
 
Notes/Additional Comments


Peptide Sequence 4

Peptide Name:  
Quantity:  
Purity:  
Number of Peptides:  
Amino Acid Sequence:   Examples:
KCLLPTA : Peptide 1
DAIKHETVK : Peptide 2
EPKVTIAQ : Peptide 3
PGEKLLHAETA : Peptide 4
    Amino Acid Abbreviations

Modifications

N-Terminal C-Terminal
Conjugation Label
Phosphorylation Yes No Please abbreviate accordingly (pSer, pTyr, pThr)
Methylation Yes No Please abbreviate accordingly (methyl-Arg, methyl-Lys, etc)
Aliquot Yes No  
 
Delivery & Invoice Address (If Different from Above)
 
Notes/Additional Comments