Covalab - Peptides Synthesis > Quotation request form

PEPTIDE SYNTHESIS

Quotation request form

YOUR DETAILS

Title:
Fullname:
Company/Site:
Unit:
Laboratory:
Building/stages:
Address:
Postal code/ZIP:	City:
Country:
Phone:
email:*

PEPTIDES INFORMATION

PEPTIDE 1

Sequence**:
Quantity (mg):
Number of amino acids:
Purity:	>70%>80%>90%>95%

PEPTIDE 2

Sequence**:
Quantity (mg):
Number of amino acids:
Purity:	>70%>80%>90%>95%

** Please enter the code sequence with one letter from N-ter to C-ter.
For Naural AA (L), use capital letter.
For Un-natural AA (D), use lower case letter.
A - Ala R - Arg D - Asp C - Cys Q - Gln E - Glu G- Gly H - His I - Ile L - Leu K - Lys
M - Met F - Phe P - Pro S - Ser T - Thr W - Trp Y - Tyr V - Val

Your message: (either in French or in English)

Data protection statement: Information supplied will be held securely and confidentially on the Covalab's data base in accordance with the French data protection law act (01/06/1978). Data is used to answer to your demand. Any information will be treated confidentially and will not be disclosed to external organisations other than Covalab and agents acting for Covalab. You have a right of view and of modification about your information, if you wish so, please email to enquiries@covalab.com. We use the information we collect to provide the services you request. Our services may include the display of personalized content and advertising. If you do not wish to receive adverts please untick the previous case . Your demand we will be treated as soon as possible provided that the formulary is completedcorrectly (at least a correct email address). If Covalab does not contact you few days after sending this formulary it is because of a technical problem during the sending of the formulary. Then, please try again or contact us. It is your responsibility to ensure that the request is clearly formulated.