Info Peptide Order Form (You can also ask for quotes via email: peptides@unc.edu) Requested Completion Date Year --19992000200120022003200420052006200720082009201020112012201320142015201620172018 / Month --JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / Day --12345678910111213141516171819202122232425262728293031 Name of Person Placing Order (Last name, First) E-Mail of Person Placing Order Phone of Person Placing Order Example: 9199621058 (include area code and exclude all symbols) Name of UNC Investigator (confirms affiliation) (Last name, First) PEPTIDE SEQUENCE (Enter the peptide to be sequenced - use nomenclature guide as a reference for modifications) N-terminal NH2 Acetyl Other (please enter in below) N-terminal (Other) (Example: Biotin) C-terminal COOH CONH2 Other (please enter in below) C-terminal (Other) Please reference our Services section for more details on synthesis scales (see table) and purity levels. Synthesis Scale (suggested amounts; please refer to Synthesis Scale table for more details) 10 µmol 25 µmol 50 µmol 100 µmol Other (please enter in below) Synthesis Scale (Other) (Example: 15 mg) Purity Level Crude <80% (desalted peptide) >80% >95%
