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Name:

Organization:

Address:

City:

State/Prov:

Zip:

Phone:

Fax:

E-mail:

Desired Sequence:

MW=

*Standard synthesis scale is 0.1-1.0mmol. Higher scales up to 5mmol are possible, but require a phone consultation.

Previous Synthesis Experience

Date Synthesized:

Instrument Used for Synthesis (include model #):

Scale:

Resin (include substitution):

Deprotection Solution:

Reaction Time:

Coupling

Amino Acid Excess:

Was Double Coupling performed:
Yes No

If Yes, then indicate on what amino acids:

Capping

Capping Solution Used:

Reaction Time:

Cleavage

Cleavage Cocktail:

Reaction Time:

Analysis

Crude Peptide Solubility:

HPLC Method Used:

Detection Wavelength (nm):

Crude Product Purity:

Major Impurities:

List any published references about this sequence:

Can CEM use data generated from this sequence for marketing purposes?
Yes No

Additional Comments:

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