Order - 1 - EN - Online Peptide Order | www2.genosphere-biotech.com/

Should you encounter any problems with this form, you may send the information by e-mail to: order@genosphere-biotech.com

Contact information

First & last names *

Company/Institute/University *

Division/Department *

VAT number (EU members only)

Order information

A copy of your Official Purchase Order is required, please email it to: order@genosphere-biotech.com

Our quote reference No.

Please indicate your peptides required amount: *

You may specify your required amount of peptides (mg) here : mg

Instructions

Should you require several combinations of peptide / mg amount / purity, simply use the last field below: Peptide name, sequence and special instructions.

Minimum purity level requirements: *

You may specify your purity level requirements here: % guaranteed purity level

Instructions

Should you require several combinations of peptide / mg amount / purity, simply use the last field below: Peptide name, sequence and special instructions.

Select your required modifications (standard synthesis yields peptide with free terminal amine et free terminal carboxyl):

N-terminal acetyl

C-terminal amide

Other modifications (N-biotin, N-spacer-biotin, N-fluorescein, cycle, disulfide bridges, phosphorylation, etc) =>

Please indicate your required modifications

SpeRequest

Special request (special peptide salt, aliquoting service, etc) =>

Peptide salt form / Counter ion

Standard salt form (TFA- trifluoracetate counterion)

Acetate salt

HCl salt

Other =>

Aliquoting service

Yes

Vialing: mg / vial

(As included in your quote, minimum is 1 mg/vial)

Specify your sequences below

• As many sequences as needed, N to C termini; please leave a blank line between sequences. • You may indicate underneath each sequence appropriate amount/purity/modification for individual peptides. • For D-amino acids please use the following formats: (d-A) or (d-ala).