Request for analysis


Before sending the sample by Express mail, please complete the following form (Disclaimer).


Personal Data
Last Name
First Name
Company/Institute
Address
E-Mail
Phone
Fax
Data on requested analysis
Requested analysis
Sample description
Sample type
Species
Cysteine modification
pI within pI range:
Mw (Da) within Mw range (in percent):
Or if you have several samples with different data, upload a file from your computer describing all the samples (species, cysteine modifications, pI/Mw - template file in Excel format):
Price (price list)
Number of samples
Price
Total
VAT7.6 %
Total + VAT
Sample(s) shipment
Date of shipment
Sent by If Other, which one:
Please send results by (check at least one)
Electronic mail
Postal mail


Other documents and tools


Last modified 14/Nov/2007 by CHH

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