Custom Peptide Order Form

*Standard sizes are 1, 10, 20, 50, 100, 250, 500 mg

**To ensure proper ordering/shipping, please include peptide sequence on quote so it appears on PO**

Custom Peptide Request Form

Name*
First Last
Email*
Phone
Country*
Institution/Company*
How did you hear about us?*
Custom Peptide Number 1
Peptide Sequence*
mg quantity*
Peptide Length (Number of Amino Acids)*
Product Code Number
Is the peptide sequence proprietary and/or patented?*
Any special modifications requested to amino acids?
Custom Peptide Number 2
Peptide Sequence
mg quantity
Peptide Length (Number of Amino Acids)
Product Code Number
Is the peptide sequence proprietary and/or patented?
Any special modifications requested to amino acids?
Custom Peptide Number 3
Peptide Sequence
mg quantity
Peptide Length (Number of Amino Acids)
Product Code Number
Is the peptide sequence proprietary and/or patented?
Any special modifications requested to amino acids?
Custom Peptide Number 4
Peptide Sequence
mg quantity
Peptide Length (Number of Amino Acids)
Product Code Number
Is the peptide sequence proprietary and/or patented?
Any special modifications requested to amino acids?
Custom Peptide Number 5
Peptide Sequence
Peptide Sequence
mg quantity
Peptide Length (Number of Amino Acids)
Product Code Number
Is the peptide sequence proprietary and/or patented?
Any special modifications requested to amino acids?
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List of Available Sizes

MG SIZE	SUFFIX
1	-P
10	-10
20	-20
50	-50
100	-100
150	-250
500	-500

Listing of Code Number Prefixes

Code Number Prefix	AMINO ACID LENGTH
BP0002	2
BP0003	3
BP0004	4
BP0005	5
BP0006	6
BP0007	7
BP0008	8
BP0009	9
BP0010	10
BP0011	11
BP0012	12
BP0013	13
BP0014	14
BP0015	15
BP0016	16
BP0017	17
BP0018	18
BP0019	19
BP0020	20
BP0021	21
BP0022	22
BP0023	23
BP0024	24
BP0025	25
BP0026	26
BP0027	27
BP0028	28
BP0029	29
BP0030	30
BP0031	31
BP0032	32
BP0033	33
BP0034	34
BP0035	35
BP0036	36
BP0037	37
BP0038	38
BP0039	39
BP0040	40
BP0041	41
BP0042	42
BP0043	43
BP0044	44
BP0045	45
BP0046	46
BP0047	47
BP0048	48
BP0049	49
BP0050	50
BP0051	51
BP0052	52
BP0053	53
BP0054	54
BP0055	55
BP0056	56
BP0057	57
BP0058	58
BP0059	59
BP0060	60
BP0061	61
BP0062	62
BP0063	63
BP0064	64
BP0065	65
BP0066	66
BP0067	67
BP0068	68
BP0069	69
BP0070	70
BP0071	71
BP0072	72
BP0073	73
BP0074	74
BP0075	75
BP0076	76
BP0077	77
BP0078	78
BP0079	79
BP0080	80
BP0081	81
BP0082	82
BP0083	83
BP0084	84
BP0085	85
BP0086	86
BP0087	87
BP0088	88
BP0089	89
BP0090	90
BP0091	91
BP0092	92
BP0093	93
BP0094	94
BP0095	95
BP0096	96
BP0097	97
BP0098	98
BP0099	99
BP0100	100