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Crystallisation Service Order Form HPLC-MALLS
Personal Information
Date
?
"Date of the experiment"
Name
?
"Enter your first and last name"
Research group leader
?
"Enter your PI's name"
E-mail:
?
"This email will be used to send a filled form after submission."
Tel.:
Registered Groups
?
"Please add the billing address if you are not included!"
--Select--
Other
BI/Kajander
BI/Butcher
BI/Iwai
BI/Permi
BI/Lappalainen
Biochem/Goldman
Department/Institute/University
Address
Postal Code & City
Country
Billing information
Name
Department/Institute/University
Address
Postal Code & City
Country
HPLC Samples
Number of samples
1
2
3
4
5
6
7
8
HPLC-MALLS 1
Sample 1 Details
Name
Concentration (mg/ml)
Volume (µl)
Protein MW (kDa)
Sample 1
HPLC-MALLS 2
Sample 2 Details
Name
Concentration (mg/ml)
Volume (µl)
Protein MW (kDa)
Sample 2
HPLC-MALLS 3
Sample 3 Details
Name
Concentration (mg/ml)
Volume (µl)
Protein MW (kDa)
Sample 3
HPLC-MALLS 4
Sample 4 Details
Name
Concentration (mg/ml)
Volume (µl)
Protein MW (kDa)
Sample 4
HPLC-MALLS 5
Sample 5 Details
Name
Concentration (mg/ml)
Volume (µl)
Protein MW (kDa)
Sample 5
HPLC-MALLS 6
Sample 6 Details
Name
Concentration (mg/ml)
Volume (µl)
Protein MW (kDa)
Sample 6
HPLC-MALLS 7
Sample 7 Details
Name
Concentration (mg/ml)
Volume (µl)
Protein MW (kDa)
Sample 7
HPLC-MALLS 8
Sample 8 Details
Name
Concentration (mg/ml)
Volume (µl)
Protein MW (kDa)
Sample 8
Additional information
Proceed