Peptide Order Form

Peptide Order Form
Name*

First NameLast Name
Email*
example@example.com
Cost Centre*
Budget
Sequences (Single letter AA abbreviations. Each peptide sequence on separate line in the text box below)
N-terminal modification (Default is no N-terminal modification)

No modificationAcetylationBiotinFluoresceinOther
Other N-terminal modification
C-terminal modification (Default is no C-terminal modification)

No modificationSIL Arginine (13C6,99%;15N4,99%)SIL Lysine (13C6,99%;15N2,99%AmidationOther
Other C-terminal modification
Other peptide modifications (Default is no modifcations)

No modificationAll cysteines methylcarboxamide (CAM) protectedTyrosine residues phosphorylated (max 3 phospho residues)Serine residues phosphorylated (max 3 phospho residues)Threonine residues phosphorylated (max 3 phospho residues)Other
Other modifications
Scale/Amount*

< 1 mg1 - 5 mg5 - 10 mg10 - 50 mg50 - 100 mg100 - 200 mg200 - 1000 mg1 - 30 g
Other amount
Required Peptide Purity*

CrudeSPE PurifiedHPLC or Flash PurifiedOther
Requested Purity
Crude (between 40% to 80%) - Purity is dependent on peptide length and sequence difficulty.

SPE (between 50% to 90%) - Removes non-peptidic impurities. The purity is dependent on peptide length and sequence difficulty.

HPLC/Flash ( >90%) - Peptides will be of greater than 90% purity with UV-Vis trace and MS supplied.

Other - Peptides can be purified up to a purity of 99.8% through multiple HPLC runs. Additional techniques can also be used to remove impurities upon request.
Requested delivery date

DayMonthYear
Date
Additional information (Additional custom requests, purification requests, delivery contact person, additional delivery instructions, general inquiries, etc.)
Should be Empty: