GenScript
860 Centennial Ave.
Piscataway, NJ 08854Tel: 1-732-885-9188
Please fax the completed Order Form to 1-732-210-0262 or email it to
I am a new customerI am a returning customer
CUSTOMER INFORMATION
First Name /Last Name
/ P.I.End UserPurchasing AgentCompany/Institute
Address
City /State/Province
/Country
/Zip Code
Phone No. / Fax No.Email / /
FedEx/UPS Acct No.
SHIP TO: CHECK HERE IF THE SAME AS CUSTOMER INFORMATION
Attn: /Phone No.
Company/Institute
Address
City /State/Province
/Country
/Zip Code
Email / /FedEx/UPS Acct No.
BILL TO: CHECK HERE IF THE SAME AS SHIPPING ADDRESS
Attn:Company/Institute
Address
City /State/Province
/Country
/Zip Code
Phone No. / Fax No.No. Antibodies
Quote No.
P. O. No.
Credit Card / Visa / MasterCard / AmExCard Holder’s Name
Expiration Date / Card No.
Card Security Code (4-digit, on top of AmEx card number or 3-digit, within the signature box on the back of card):
PLEASE SIGN AND DATE
PRINT NAME AND TITLE
Vendor: / Custom Monoclonal Antibody Order Form
GenScript
860 Centennial Ave.
Piscataway, NJ 08854Tel: 1-732-885-9188
Please fax the completed Order Form to 1-732-210-0262 or email it to
Requested ServicesI. Monoclonal Antibody Packages
SC1040 Customer's Antigen Monoclonal Antibody Package (Mouse)
SC1041 Peptide Supplied Monoclonal Antibody Package (Mouse)
SC1391 Customer's Antigen Monoclonal Antibody Package (Rat)
SC1392 Peptide Supplied Monoclonal Antibody Package (Rat)
SC1301 Phospho-Specific Monoclonal Antibody Package (Mouse)
SC1398 Phospho-Specific Monoclonal Antibody Package (Rat)
II. MonoExpressTM Antibody Services
SC1344 Peptide Supplied MonoExpressTM Antibody Service (Mouse)
SC1345 Peptide Supplied MonoExpressTM Antibody Service (Rat)
SC1572 MonoExpressTM Western Guaranteed Monoclonal Antibody Services (Mouse or Rat)
SC1572P MonoExpressTM Western Guaranteed Monoclonal Antibody Services (Mouse or Rat)
III. Assemble Your Own Package: Step-Wise Monoclonal Antibody Services
SC1216 Monoclonal Antibody Project, Phase I
SC1219 Monoclonal Antibody Project, Phase II, Cell fusion and Screening
SC1220 Monoclonal Antibody Project. Phase III, Subcloning, Screening and Expansion
SC1483 Custom Monoclonal Antibody Service
IV. Anti-Idiotype Monoclonal Antibody Packages
SC1184 Anti-idiotype Monoclonal Antibody Package (Mouse)
SC1185 Anti-idiotype Monoclonal Antibody Package (Rat)
V. Related Services
Extended Services
SC1034 Extended protocol (1 rabbit/1 chicken/3 rats/5 mice/month) No.:
Additional animal
SC1388 Additional mouset No.:
SC1389 Additional rat No.:
Cell Line Storage
SC1580 Extra-time Cell Line Maintenance
SC1580C Extra-time Cell Line Maintenance per clone No.:
SC1057 Cell Line expansion, 1 vial/cell line No.:
SC1615 Cell line storage, 1vial/year No.:
Antibody Production-in vivo
SC1110 Ascites Production in Balb/c mice Protein A/G Affinity Purification
SC1302 Ascites Production in Immunodeficient mice Protein A/G Affinity Purification
SC1613 Low EU Ascites Production in Balb/c mice Protein A/G Affinity Purification
SC1614 Low EU Ascites Production in Immunodeficient mice Protein A/G Affinity Purification
Antibody Production-in vitro
SC1117 Roller bottle cell culture and purification (Price $730 / Liter)
SC1373 Low EU roller bottle cell culture and purification (Price $1145 / Liter)
Antibody Modification
SC1061 Biotin Conjugation (up to 20 mg)
SC1062 HRP Conjugation (up to 20 mg)
SC1063 FITC Conjugation (up to 20 mg)
Antibody Purification
SC1039 Antigen Affinity Purification (up to 100 ml)
SC1043 Protein A/G Affinity Purification (up to 100 ml of sera or ascites)
Antibody Characterization
SC1036 Antibody titer test by ELISA (per 96-well plate) No. of Samples:
SC1037 Antibody Western Blot Testing (per membrane and up to 9 samples) No. of Samples:
SC1581 Antibody IP/WB testing (up to 5 samples/1 membrane) No. of Samples:
SC1582 Antibody ICC/IF testing, including cell culture
SC1582S Antibody ICC/IF testing, including cell culture per sample No. of Samples:
SC1583 Antibody FACS testing, including cell culture
SC1583S Antibody FACS testing, including cell culture per sample No. of Samples:
Other Service
SC1035 KLH / OVA / BSA Conjugation Up to 20 mg
SC1196 Pre-Screen; price per animal; hold for up to 30 days after Test Bleed
SC1197 Antibody or antiserum sample preparation (Test Bleed or production bleed)
SC1198 Positive Cell Supernatants
SC1221 Additional Subcloning (Monoclonal Antibody Production) Price per Clone (in Phase II)
SC1223 Additional Antigen screening and testing (Monoclonal Antibody Production)
SC1363 Sterile filtration and package up to 20ml
SC1383 Additional cell fusion, 1-2 mice or 1 rat per fusion
Antigen Information:
Antigen Name
Antigen designed and synthesized by GenScript (Sequence will be sent to you for approval)
Antigen synthesized by GenScript (please paste the sequence below)
Sequence: N’- / -C’
Purity / Quantity
Modifications
Antigen provided by customer (please attach completed Antigen Submission Form)
CommentsI confirm that the custom antigen is free of living pathogens and is not toxic or harmful to humans or animals.
Signature Date1. GenScript will make every effort to reduce the production turnaround time. Delays may be incurred if the antigen is poorly immunogenic or produces unstable clones.
2. The success of a project is dependent upon the materials used, supplied by either the customer or by our supplier. Some or all animals may fail to give a response to certain antigens. Please note that GenScript does not guarantee that a given antigen designed by GenScript or provided by customer will elicit an immune response.