Custom Synthesis Request

Submitted by japerry on Wed, 2008-06-04 00:01.

Thank you for your interest in placing a custom quote. The following form will be emailed to our custom synthesis department immediately after being submitted. However, please allow 3-5 business days for a quote. If you have not heard a response within this time, please contact us.

Fields marked with * are required

Full Name: *

Title:

Company / Institution: *

Department:

Address 1: *

Address 2 (Optional):

City + Postal Code: *

Country: *

Select Country, defaults to United States

Email: *

Your E-mail address. Defaults to the email address used to register on our site

Phone: *

Phone number, with area code and country code (if outside the US or Canada)

Description of Compound: *

Please write the formula or use SMILES code to describe the compound you wish to have synthesized

Exact Match of Compound?: *

Yes

Specify if you require the compound described above to be an exact match

Compound Flexibility: *

If you don't need an exact match, please describe what portion of the compound is important and where there is flexibility. Example: you want a certain type of linkage and head group, but you don't care what the exact chain length is, as long as it is at least 10.

Default Package Size: *

Yes (200mg)

Other (Specify Below)

Select if you wish to use our default quote size; 200mg, shipped in their neat form under inert gas.

Custom Package Size:

If you selected 'Other' for package size, please specify if you need larger quantities or different packaging size, such as smaller aliquots or prepared as solutions in ethanol.

Additional Compound Information:

Please submit any additional information about this compound that will help us with planning the synthesis, such as your own synthesis methodology, references describing the exact or similar synthesis.