PEF Protein Research Services Enquiry Form

Please fill in as many details as possible about your project to assist us with providing you with an accurate quote.

CONTACT DETAILS

Contact Person

First and last name

Group Leader / Principal Investigator name

First and last name

Affiliation / Organisation

Full name - no abbreviation

Faculty / Institute

Full name - no abbreviation

Centre / Department / School / Unit

Full name - no abbreviation

Address

Please provide your delivery address

Phone / Mobile

Please include your country code

Please select the category below that best describes your organisation

PROJECT DETAILS

Would you like to discuss the project design with a PEF research specialist?

Yes

Please select the services you would like included in your quote:

Select all that apply

Project Description

Please provide a brief project description, including the intended end application.

Please attached any relevant literature references, documents, images, results, etc:

Drop your files here

Is this enquiry for a student project?

Do you require PEF to arrange shipping of the final sample on project completion?

Yes

SAFETY AND REGULATORY INFORMATION

Are you sending samples from outside of Australia, originally from overseas, or subject to state quarantine restrictions?

Yes

Do your samples require special storage or handling according to the OGTR (Office of the Gene Technology Regulator) or an IBC (Institutional Biosafety Committee)?

Yes

Do your samples contain any hazardous substances?

Yes

PROTEIN INFORMATION

Protein Name

UniProt Number

Organism of Origin

Cellular Localisation

Intracellular

Membrane

Secreted

Unknown

Nucleotide Sequence

Amino Acid Sequence

Please include the start methionine, stop codon, any tag sequences and cleavage sites.

Would you like endotoxin removal? (required for animal studies)

Yes

Desired Yield

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