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Synthetic Peptide Order Form
Requester:
Contact Name: Date:
Dept: Phone:
Bldg: FAX:
PI Name: Acct#:
E-mail Address:

Peptide Name: (limit 8 characters)

Synthesis Scale: (~50 µg/µmol/residue, crude)
20-50 µmol    100-600 µmol
Purity of peptide required:
Crude peptide (Amount Needed: mg)
  and/or
HPLC Purified (Amount Needed: mg)

N-terminus Sequence C-terminus
*If you choose "special" for either terminus, please explain in the comments sections.

Total Number of Amino Acids:
Asn(N) Gly(G) Pro(P) Ile(I)
Asp(D) His(H) Tyr(Y) Leu(L)
Gln(Q) Arg(R) Val(V) Phe(F)
Glu(E) Thr(T) Met(M) Lys(K)
Ser(S) Ala(A) Cys(C) Trp(W)
Other Amino Acids:


The Peptide will be used for:
Comments:

Cleavage/extraction, freeze-drying, mass spectrometric analysis and analytical HPLC profile is standard for every peptide.

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Last updated by Matt Reed. 11/20/2003