
MASS SPECTROMETRY ORDER FORM
| SHIPPING INFORMATION |
BILLING INFORMATION |
| Name: ___________________________ Address: _________________________ _________________________________ _________________________________ Phone: _______________ Fax: _________________ Email Address: _____________________ |
Name: ___________________________ Address: _________________________ _________________________________ _________________________________ Phone: __________________ Fax: ____________________ P.O. #: __________________ |
| Experiment(s) To Be Done:
MALDI-TOF_______
ES/MS _______ LC/ES/MS _______
NS/MS _______ Amount Supplied: _______ mgs
_______ pmoles @ 100%
by weight |