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Keck Home Page > Small Scale Peptide Synthesis > On-line Ordering > Yale Order Form

Yale Small Scale Peptide Synthesis Order Form

Your Last Name: First Name:
PI's Last Name: PI's First:
Department:

YCC Member?:

Yes      No
Room #: Building:
Telephone: Fax:
Email:

Yale Charging Instructions:

Project Task Award Expenditure Organization

Charge to HHMI

 

Peptide 1

Scale

Purity

Amino Terminus

Carboxy Terminus

25  然

Purified Acetyl

Free COOH

50  然

Crude Free NH2

CONH2

100  然

Other
(Describe Below)



Enter Residues 1- 10 above.   Separate with Dashes.



Enter Residues 11- 20 above.   Separate with Dashes.



Enter Residues 21- 30 above.   Separate with Dashes.


Any special instructions/unusual procedures, etc:

 

Peptide 2

Scale

Purity

Amino Terminus

Carboxy Terminus

25  然

Purified Acetyl

Free COOH

50  然

Crude Free NH2

CONH2

100  然

Other
(Describe Below)



Enter Residues 1- 10 above.   Separate with Dashes.



Enter Residues 11- 20 above.   Separate with Dashes.



Enter Residues 21- 30 above.   Separate with Dashes.


Any special instructions/unusual procedures, etc:

 

Peptide 3

Scale

Purity

Amino Terminus

Carboxy Terminus

25  然

Purified Acetyl

Free COOH

50  然

Crude Free NH2

CONH2

100  然

Other
(Describe Below)



Enter Residues 1- 10 above.   Separate with Dashes.



Enter Residues 11- 20 above.   Separate with Dashes.



Enter Residues 21- 30 above.   Separate with Dashes.


Any special instructions/unusual procedures, etc:

If you would like to order more than three peptides, place this order, click Back on your browser, change peptide information, and resubmit.

    

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