Client order form

One row per sample. Fields marked * are required. Sterility testing needs two vials per sample. You get a ALD code as soon as you send this.

Client details

We use this to reach you about your samples and to send results.

Company name * Exactly as it should appear on your COA Contact email * Phone number Date submitted

Samples

Include the lot or batch number where you have it. Quantity does not change the price.

#	Peptide name	Qty	Amount	CAS / Lot / Batch	Sample type	IPN$150.00	Conformity COA$100.00	Endotoxin$150.00	Heavy metals$100.00	Sterility$200.00	ExpeditedQuoted	Line total	Remove

Estimated total $0.00

Anything else we should know

Storage conditions, hazards, shipping details, or a purchase order number.

Notes for the lab

Pricing

Per sample. Line total is the sum of the tests selected on that row.

Identity, Purity & Net peptide	$150.00
Conformity COA	$100.00
Bacterial endotoxin (LAL / rFC)	$150.00
Heavy metals by ICP-MS	$100.00
Sterility, USP <71> · 2 vials required	$200.00
Expedited turnaround	Quoted separately

Sending this form notifies the lab and emails you a copy with your ALD code. Ship your samples to Shipping address provided after confirmation and include a printed copy in the box.

Cancel