Custom Synthesis Request Form

Thank you for your interest in our products. In order to provide you with an accurate response, we request that you fill out the following form.

* *
Title* Department*
City* State*
Postal Code* Country*
Work Phone Cell Phone
Describe isotope labels and positions or minimum required mass shift from native (i.e. M+2, M+3, etc).*
Attach a structure file if needed (.jpeg, pdf, gif files only) Please name your file with extension.
Application for Compound: (Check all that apply)
Which isotopes would be appropriate for this application? (Check all that apply)
What will this quote be used for?
What is your budget for this project?
What is your required delivery time*?

*CIL custom syntheses generally take a minimum of 6-8 weeks. If this does not meet your requirements, it is possible to discuss other alternatives.

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