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Custom Peptide Quote Request Form
for 3 Antibody - Peptide Sets

Phone: 800-435-2080
Fax: 508-435-8508
email: peptide@qcb.com

Note: Required Fields are in Red

Preferred method of contact:
First Name: Last Name:
Telephone Number: Ext:
Fax Number: E-mail Address:
Institution/Company: Department:
Address:    
City:    
State:    
Zip:    

Set 1:

Peptide Specification

Step 1: Peptide Synthesis

Enter:      

Please indicate any special instructions:



Antibody Specification

Step 2: Select a host animal

Please select the desired species (standard number of animals is noted by each species).
We can always add additional animals if you wish.  Rabbit is the most common for
polyclonal antibody production.

If other, please name the desired species here:

Please select the number of additional animals to immunize (optional)




Step 3: Antibody selection package Select your desired Custom Antibody Service Package
A representative will contact you to further discuss each Service Package and answer any questions.
 

Set 2:

Peptide Specification

Step 1: Peptide Synthesis

Enter:      

Please indicate any special instructions:



Antibody Specification

Step 2: Select a host animal

Please select the desired species (standard number of animals is noted by each species).
We can always add additional animals if you wish.  Rabbit is the most common for
polyclonal antibody production.

If other, please name the desired species here:

Please select the number of additional animals to immunize (optional)




Step 3: Antibody selection package Select your desired Custom Antibody Service Package
A representative will contact you to further discuss each Service Package and answer any questions.


 

Set 3:

Peptide Specification

Step 1: Peptide Synthesis

Enter:      

Please indicate any special instructions:



Antibody Specification

Step 2: Select a host animal

Please select the desired species (standard number of animals is noted by each species).
We can always add additional animals if you wish.  Rabbit is the most common for
polyclonal antibody production.

If other, please name the desired species here:

Please select the number of additional animals to immunize (optional)




Step 3: Antibody selection package Select your desired Custom Antibody Service Package
A representative will contact you to further discuss each Service Package and answer any questions.