Download MJFF Alpha-Synuclein Protein Request Form

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Transcript
I agree that pursuant to MJFF's agreement with Proteos, the supplier of Parkinson’s
disease-relevant proteins, these proteins may be used only for research purposes, and
any commercial use of these proteins requires separate written agreement with the
supplier and MJFF. I agree that the proteins will not be used in humans for the
treatment or diagnosis of human disease.
______________________________
Signature
______________________________
Date
This form must be signed and submitted to Proteos, Inc. ([email protected]) in
order to receive the requested materials.
MJFF Alpha-Synuclein Protein Request Form
Please complete the request form below and return to Proteos, Inc.
([email protected]). By requesting these materials, you agree to use them for
research purposes only.
Investigators from non-profit and for-profit entities may request aliquots of any of the
Parkinson’s disease-relevant proteins, generated with support from The Michael J. Fox
Foundation for Parkinson’s Research:
PRINCIPAL
INVESTIGATOR
INSTITUTE/COMPANY
REQUESTOR
AFFILIATION
(Non-Profit/For-Profit)
EMAIL
PHONE NUMBER
LAB CONTACT FOR
SHIPPING
(If different from PI)
LAB CONTACT -EMAIL
LAB CONTACT –
PHONE NUMBER
SHIPPING ADDRESS
Preferred FREIGHT
CARRIER and Account
#
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MJFF PROTEINS Available
Protein
Alpha-synuclein
monomer
Description
Full-Length human alpha-synuclein
monomeric protein generated in vitro.
This protein was used to generate alphasynuclein filament which was then used
as antigen for the MJF-14 alphasynuclein filament-specific antibody
available from Abcam.
Alpha-synuclein filament Full-Length human alpha-synuclein
protein expressed in vitro and
manipulated to form alpha-synuclein
filaments. This filament version of
alpha-synuclein was used as antigen for
the MJF-14 conformation-specific rabbit
monoclonal alpha-synuclein filamentspecific antibody available from Abcam.
Alpha-synuclein
Full-Length human alpha-synuclein
monomer to generate pre- monomeric protein specially formulated
formed fibrils
to generate pre-formed fibrils.
A protocol for generating pre-formed
fibrils from this monomeric protein will
be included with each order.
QUANTITIES OF MJFF
PROTEINS BEING
REQUESTED
Price
1-9 mg: $225/mg
10 mg: $2,500/10 mg
>10 mg: Request quote
+ shipping
1-9 mg: $275/mg
>9 mg: Request quote
+ shipping
1-9 mg: $225/mg
10 mg: $2,500/10 mg
>10 mg: Request quote
+shipping
Aliquots are available in 1 mg increments. Please indicate the
number of aliquots requested in the area below.
Requests above 10 mg total per protein in a single order will be
considered a custom order. Questions about this limit can be
addressed to [email protected]
Alpha-synuclein monomer:
Alpha-synuclein filament:
Alpha-synuclein monomer to generate pre-formed fibrils:
Payment instructions
Provide a complete purchase order along with this request form
OR provide credit card information to Holly Kehoe
([email protected]) of Proteos, Inc by phone at 1-269-3828717.
This form must be submitted to Proteos, Inc ([email protected]) in order to receive
the requested materials.
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