Protein Mass Spectrometry - Sample Submission Form

Protein Mass Spectrometry - Sample Submission Form
Estimate Number
E-mail address*
example@example.com
Name

First NameLast Name
Lab Name or Lab PI; Company Name; or Institution Name
Purchase Order Number (if you don't have a PO# and plan to pay by credit card, please note "CC")*
Email address for billing (accounts payable department, purchase agent, etc.)
example@example.com
Note: Our contact information for your purchasing department is billing@poochonscientific.com
Sample Information
Sample Type*

Gel BandTissueProtein mixtureSubcellular organellesPurified ProteinSerum or PlasmaIP BeadsCell culture mediumCell pelletBody FluidsOther
Please enter your sample details below, adding a new row for each sample.

If concentration is unknown, you may estimate or leave blank.

Or, for large orders, you may click here to download an Excel template and upload the completed file below. You may also upload your own project's sample list.
File Upload

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Buffer Components (please put "N/A" if not applicable)*
Protein Species (human, mouse, insect, etc.)*
Host Species (human, yeast, E.coli, etc. - please put "N/A" if not appicable)*
Target/Bait Protein Sequence (please put "N/A" if not applicable)*
Project Goals - please detail any specific project goals*
Data Analysis Comparisons - please indicate which sample groups you would like to be compared, or put "N/A" if not applicable*
Please provide any special instructions for sample processing and/or any additional information relevant to your samples
Sample Submission
Select the date you will submit your samples*

MonthDayYear
Date
How will you submit your samples?*

I will ship my samples.I will drop my samples off at Poochon Scientific.I will drop off my sample package at one of the DNA drop box locations and submit a request via the link below.
Sample Pickup Request Form
Please provide a tracking number, if applicable. If you do not have one yet, please forward the tracking information to support@poochonscientific.com once received or edit this submission.
Should be Empty:

Protein Mass Spectrometry - Sample Submission Form

Sample Information

Sample Submission