AscentGene, Inc.
Tel: 1-800-689-2270
Fax: 1-888-727-4699

     Custom Protein Services Request Form

   Contact Information:

  
   Name  
   Company  
   E-Mail  
   Phone  
   Fax  
   Address  
   
   City/State or Province/Zip  
   Country  

   Your Request:

  
   Gene/Protein Name/Accession #  
   Protein Size  
   Expression System
  E. coli   Baculovirus   Mammalian
   Tag(s)
  6His   GST   Flag   Other (  )
   Do you have a protocol ready?
  Yes   No
   Can you provide cDNA?
  Yes   No
   Do you need active protein?
  Yes   No
   Quantity (mg or gram)  
   Comments

 

   

www.ascentgene.com