custom services for research

home

contact

products

home > Order > Online Peptide Order

ONLINE ORDER

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

Contact information
* indicates a required information

* Courtesy
* First & last names:
* Company/Institute/University:
* Division/Department:
* City & Country:
* Tel:
* Fax:
* Email:

Shipping information :

* Shipping Address:
* City, Postal code:

* Country:

Invoicing information :

* Invoicing Address:
* City, Postal code:

* Country:

Order information :

A copy of your Official Purchase Order is required (e-mail, fax or post).
Purchase Order No.:

VAT number (EU members only):

Our quote reference No.:

Product information

Custom Peptides

Quantity / Purity:

20 to 25 mg / Purity >70%
10 to 15 mg / Purity >80%
5 to 10 mg / Purity >95%
2 to 5 mg / Purity >99%

other

Quantity: mg

Purity:

Modification:

N-acetyl
C-amide
other:

Peptide name, sequence and special instructions

As many sequences as needed, N to C termini; leave a blank line between sequences.
You may indicate underneath each sequence appropriate amount/purity/modification for individual peptides.