Antibody Online Order

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Copyright 2006. All rights reserved. Antagene Inc.
2245 Fortune Drive, Suite C,
San Jose ,CA95131
Tel 1 (866)964-2589 l Fax (650)964-2519 l info@antageneinc.com
Contact webmaster

Contact Name:

Institute:

Shipping Address:

Phone:

E-mail:

Fax:

P.O.#:

Card Type:

Cardholder's Name:

Exp. Date:

Billing Address:

or

City, State, Zip:

City, State, Zip:

Antibody Types:

Peptide

Protein

or

If it is peptide antibody, please fill the following information

Sequence name:

Length:

Peptide scale of
synthesis:

Other scale:

Purification code:

Modification:

Conjugation:

Others:

Antibody #1

Peptide
Sequence:
NH₂ to COOH

Type:

Antibody Name:

Antibody Type:

Complete Service:

Affinity Purification:

Elisa Test:

Phospho-Antibody:

Additional Items:

OR complete another sequence below

Antibody

If other scale, Please call 650-964-2589

If other, please specify below

Credit Card #:

Other Notes or
Requirement:

Antibody #2

Antibody Types:

Peptide

or

Protein

If it is peptide antibody, please fill the following information

Sequence name:

Length:

Peptide scale of
synthesis:

Other scale:

If other scale, Please call 650-964-2589

Purification code:

Modification:

If other, please specify below

Conjugation:

Others:

Peptide
Sequence:
NH₂ to COOH

Type:

Antibody

Antibody Name:

Antibody Type:

Complete Service:

Affinity Purification:

Elisa Test:

Phospho-Antibody:

Additional Items:

Other Notes or
Requirement:

This online order form can order one sequence at a time. Large orders can be completed by sending information on multiple forms. If there's a problem with this form, you may send the information by E-mail to Sales@antageneinc.com or call 1-650-964-2589.

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Antagene, Inc.
Toll Free: 1 (866) 964-2589
Fax (650) 964-2519
info@antageneinc.com