about qcb qcb announcements custom antibody services custom peptide services ordering information

Custom Peptide Quote Request Form
for 3 Peptides

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:    
For Peptide 1:
Step 1: Peptide Synthesis

Enter the sequence of your peptide:

Please indicate any special instructions:


Step 2: Peptide Specifications Select the desired purity: %         Desired final yield: mg
Select your desired N-terminus:    
Select your desired C-terminus:    
Additional modification (optional):

Phosphoserine
Phosphotyrosine
Phosphothreonine
Biotinylated peptide
Other - Specify:
Location of modification:

For Peptide 2:
Step 1: Peptide Synthesis

Enter the sequence of your peptide:

Please indicate any special instructions:


Step 2: Peptide Specifications Select the desired purity: %         Desired final yield: mg
Select your desired N-terminus:    
Select your desired C-terminus:    
Additional modification (optional):

Phosphoserine
Phosphotyrosine
Phosphothreonine
Biotinylated peptide
Other - Specify:
Location of modification:

For Peptide 3:
Step 1: Peptide Synthesis

Enter the sequence of your peptide:

Please indicate any special instructions:


Step 2: Peptide Specifications Select the desired purity: %         Desired final yield: mg
Select your desired N-terminus:    
Select your desired C-terminus:    
Additional modification (optional):

Phosphoserine
Phosphotyrosine
Phosphothreonine
Biotinylated peptide
Other - Specify:
Location of modification: