N-TERMINAL PROTEIN/PEPTIDE SEQUENCING ORDER FORM

SHIPPING INFORMATION

BILLING INFORMATION

Name: ___________________________

Address: _________________________

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Phone: _______________

Fax: _________________

Email: _________________

Name: ___________________________

Address: _________________________

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_________________________________

Phone: __________________

Fax: ____________________

P.O. #: __________________

 

Number Of Cycles Desired: ____________________

Nature Of Sample:

PVDF or other blot: ____________

Passive Gel Elution: __________ By User (call for protocol)
__________ At CBI

Solution Phase sample _________ indicate buffer components ________

Estimated Purity ________

Estimated Mole Amount of Target Protein/Peptide __________

Compositional Analysis to Confirm Concentration ______Yes ______No

Other Information/Requirements:

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