Custom Service Requirements Form

Thank you for your interest in our antibody and protein custom conjugation services. Please fill out the form below and we will contact you through email with your quote.

(*Indicates a mandatory field)

Contact Information

First name*

Last name*

Telephone

Email*

Institution*

City*

Country/Region*

Thermo Fisher Sales Rep.

Nature of Inquiry:*

Pricing estimate

Quote for Ordering

For Grant Submission

Antibody/Protein Type

Please fill in all applicable fields.

Name of Antibody/Protein to be conjugated:

MW:

Please list the Vendor and Catalog #

Vendor:

Catalog #:

Amount of starting material
(0.2 mg minimum for organic dyes, 0.5 mg minimum for Qdot labels)

mg:

Starting Material Buffer
(0.5 mg/mL minimum concentration, carrier-free formulation required)

Conc. (mg/mL):

Formulation:

Biological source of starting material
(e.g. mouse, rabbit, bacterial, etc.)

Does your protein contain carrier proteins (BSA, casein, gelatin, etc)?

Yes

Label

Note: Proteins will be labeled on amines unless otherwise specified

Alexa Fluor Dye

Qdot nanocrystal (SiteClick conjugation)

NovaFluor dye

Other Conjugates

If other, please specify:

Chemical reactivity

Return Conjugate In:*

If other, please specify:

Commercial use information

Please complete this section for your request.

Do you plan, either now or in the future, to resell this product in any form?*

Yes

Do you plan, either now or in the future, to use this product in the manufacture or quality control testing of a product that you will sell or use in a commercial service?

Yes

Do you plan, either now or in the future, to use this product in a commercial service, either under contract to a third party or on a fee per test basis?

Yes

How did you find out about our service?*

Disclaimer: We will make our best effort to produce the conjugate you request. However, because optimal labeling must be determined empirically, we cannot guarantee that a single conjugation will produce the best product for your needs.

Please note that we cannot guarantee the final yield or that the final product will be biologically active. We do not refund payments for services diligently performed.