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Antibody Preparation Application Form Ⅰ Customer information Name Date Ⅱ Antigen Department E-mail Phone information 1. Name of anitgen: Concentration: ;Volume: 2. Specifies of antigen 3. Type of antigen 4. Has your antigen been coupled to a carrier proteinn?Yes ;The name of the No protein coupled or that will be coupled to : 5. Is your antigen poisonous to human or animals?Yes or cDNA sequences known? Yes No ;Are the antigen DNA No Ⅲ Antibody information 1. 2. Type of antibody: monoclonal antibody Patterns of antibody expression: ,polyclonal antibody ; Ⅳ Charges The experimental periods and the charges can be determined after mutual consultation. There is no need for customers to fill in these contents. Ⅴ Legal issues 1. 2. 3. 4. 5. 6. In order to finish the experiment of the customers successfully in time,please fill in the application form as detailedly as possible and fax it to 021-65423776-806. Alternatively, you can also send it this E-mail:[email protected]. After receiving your form , we will contact you in 24h and arrange experiment for you as soon as possible. After signing the contract with our customer, we will carry out the experiment in full accordance with customers’ requirements. If we are aware of some problems we will communicate with you. After the contract confirmation, customers should pay all the fees for technical service at one time. Customers should be responsible for the problems caused by their own samples or reagents. Our company will keep your experiment information as secrets. If your reagents are not sold by our company, we will not supply after sale service. After the experiment, customers should inform us how to deal with the sample and reagents left in time. Shanghai BlueGene Biotechnology Co.,Ltd. Phone :0086-21-61471240 61471242 FAX:0086-21-61471240-806 www.elisakit.cc www.bluegene.cc e-mail:[email protected]