testCustom Conjugation FormRFQ NumberName(Required) First Last Organization(Required)Email(Required) Additional Email Optional - An additional email address where the quote should be sent.PhoneShipping Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands DELIVERY TIME(Required) Normal (2 weeks) Expedited (7 days)APPLICATION(Required) FACS/Flow Cytometry Screening ELISA Luminex Microscopy Fluorescent to protein ratio Western Blot In Vivo (ENDOTOXIN FREE) OtherPlease specify:SPECIAL ANALYSIS SEC-HPLC Requested PRE-conjugation SEC-HPLC Requested POST-conjugation Endotoxin Level Testing FACSCONJUGATION # 1LABEL # 1(Required)Acridinium Ester (D32-999)Alexa Fluor® 488 (D32-999)Alexa Fluor® 514 (D22-999)Alexa Fluor® 546 (D51-999)Alexa Fluor® 555 (D36-999)Alexa Fluor® 594 (D48-999)Alexa Fluor® 647 (D29-999)Alexa Fluor® 700 (D24-999)Alexa Fluor® 750 (D45-999)Alkaline Phosphatase (AP-999)APC (Allophycocyanin) (D3-999)APC Cyanine 7 (D37-999)Atto 490 LS (D31-999)Biotin (B1-999)B-PE (B-Phycoerythrin) (D4-999)Carboxyfluorescein (FAM-999)Cyanine 5.5 (D34-999)DBCO-PEG13 NHS ester (D43-999)DIG (Digoxigenin) (DIG-999)DNP (Dinitrophenol) (DNP-999)DyLight® 405 (D20-999)DyLight® 488 (D8-999)DyLight® 550 (D9-999)DyLight® 594 (D21-999)DyLight® 650 (D10-999)Europium 1024 (D17-999)Europium 8044 (D18-999)FITC (FITC-999)HRP (Horseradish Peroxidase) (HRP-999)iFluor® 790 generic only (D56-999)Pacific Blue (D25-999)PBXL-3 (D7-999)PEGPerCP - (Peridinin Chlorophyll) (D11-999)PerCP - Cyanine 5.5 Tandem (D27-999)PerCP- Cyanine 7 Tandem (D23-999)Propargyl PEG (D49-999)RPC (D38-999)RPE (R-Phycoerythrin) (D5-999)RPE-Alexa Fluor® 700 Tandem (D28-999)RPE-Cyanine 5.5 Tandem (D15-999)RPE-Cyanine 7 Tandem (D16-999)RPE-DyLight® 594 Tandem (D12-999)RPE-DyLight® 633 Tandem (D13-999)RPE-DyLight® 650 Tandem (D14-999)Ruthenium (Sulfo-Tag) (D33-999)SureLight™ 488 (D44-999)Terbium (TB-999)Other (please specify)Other Label # 1(Required)MATERIAL # 1(Required)Name or Codename of Antibody or Protein. Please provide an identification that will match how the material is labeled on the vial(s).AMOUNT (Material # 1)(Required)Amount of material to be labeled (mg)TYPE (Material # 1)(Required)e.g. protein, antibody, IgG and subclasses, IgMSOURCE (Material # 1)(Required) Customer will provide material Columbia Biosciences will source material to be labeledMOLECULAR WEIGHT (Material # 1)EXTINCTION COEFFICIENT (Material # 1)SPECIAL HANDLING (Material # 1)STARTING BUFFER (Material # 1) Contains carrier proteins (will reduce yield) Azide free Endotoxin free Other (Please specify)STARTING BUFFER (Material # 1)FINAL BUFFER REQUIREMENT (Material # 1) Azide Free Endotoxin Free Other (Please specify)OTHER FINAL BUFFER REQUIREMENT (Material # 1)Please provide other final buffer requirements (if any).FINAL FORMAT (Material # 1) Liquid (DEFAULT) Lyophilized FrozenALIQUOTING (Material # 1)Please indicate if custom aliquoting is required. The final conjugate will be vialed in bulk unless otherwise specified. Custom aliquotingCUSTOM ALIQUOTING (Material # 1)Please specify aliquot volume and concentration. Material will be sent in bulk if left blank.SHIPPING (Material # 1)Please indicate how the final conjugate should be shipped from Columbia Biosciences to the shipping address. The final conjugate(s) will be shipped on blue ice unless indicated otherwise. Dry IceSTABILITY INFO (Material # 1)Are there any specific requirements for the stability of your material that need to be taken into account during conjugation? (i.e. ionic strength, pH, temperature)?COMMENTS (Material # 1)Please tell us any additional requirements for conjugation # 1.CONJUGATION # 2LABEL # 2Acridinium Ester (D32-999)Alexa Fluor® 488 (D32-999)Alexa Fluor® 514 (D22-999)Alexa Fluor® 546 (D51-999)Alexa Fluor® 555 (D36-999)Alexa Fluor® 594 (D48-999)Alexa Fluor® 647 (D29-999)Alexa Fluor® 700 (D24-999)Alexa Fluor® 750 (D45-999)Alkaline Phosphatase (AP-999)APC (Allophycocyanin) (D3-999)APC Cyanine 7 (D37-999)Atto 490 LS (D31-999)Biotin (B1-999)B-PE (B-Phycoerythrin) (D4-999)Carboxyfluorescein (FAM-999)Cyanine 5.5 (D34-999)DBCO-PEG13 NHS ester (D43-999)DIG (Digoxigenin) (DIG-999)DNP (Dinitrophenol) (DNP-999)DyLight® 405 (D20-999)DyLight® 488 (D8-999)DyLight® 550 (D9-999)DyLight® 594 (D21-999)DyLight® 650 (D10-999)Europium 1024 (D17-999)Europium 8044 (D18-999)FITC (FITC-999)HRP (Horseradish Peroxidase) (HRP-999)iFluor® 790 generic only (D56-999)Pacific Blue (D25-999)PBXL-3 (D7-999)PEGPerCP - (Peridinin Chlorophyll) (D11-999)PerCP - Cyanine 5.5 Tandem (D27-999)PerCP- Cyanine 7 Tandem (D23-999)Propargyl PEG (D49-999)RPC (D38-999)RPE (R-Phycoerythrin) (D5-999)RPE-Alexa Fluor® 700 Tandem (D28-999)RPE-Cyanine 5.5 Tandem (D15-999)RPE-Cyanine 7 Tandem (D16-999)RPE-DyLight® 594 Tandem (D12-999)RPE-DyLight® 633 Tandem (D13-999)RPE-DyLight® 650 Tandem (D14-999)Ruthenium (Sulfo-Tag) (D33-999)SureLight™ 488 (D44-999)Terbium (TB-999)Other (please specify)Other Label # 2(Required)Please specify Label # 2MATERIAL # 2(Required)Name or Codename of Antibody or Protein: Please provide an identification that will match how the material is labeled on the vial(s).AMOUNT (Material # 2)(Required)Amount of material to be labeled (mg)TYPE (Material # 2)(Required)e.g. protein, antibody, IgG and subclasses, IgMSOURCE (Material # 2)(Required) Customer will provide Columbia Biosciences will source material to be labeledMOLECULAR WEIGHT (Material # 2)EXTINCTION COEFFICIENT (Material # 2)SPECIAL HANDLING (Material # 2)STARTING BUFFER (Material # 2) Contains carrier proteins (will reduce yield) Azide free Endotoxin free Other (Please specify)OTHER STARTING BUFFER (Material # 2)FINAL BUFFER REQUIREMENT (Material # 2) Azide free Endotoxin free Other (Please specify)OTHER FINAL BUFFER REQUIREMENT (Material # 2)Please provide other final buffer requirements.FINAL FORMAT (Material # 2) Liquid (DEFAULT) Lyophilized FrozenALIQUOTING (Material # 2)Please indicate if custom aliquoting is required. The final conjugate will be vialed in bulk unless otherwise specified. Custom aliquotingCUSTOM ALIQUOTING (Material # 2)Please specify aliquot volume and concentration. Material will be sent in bulk if left blank.SHIPPING (Material # 2)Please indicate how the final conjugate should be shipped from Columbia Biosciences to the shipping address. The final conjugate(s) will be shipped on blue ice unless indicated otherwise. Dry iceSTABILITY INFO (Material # 2)Are there any specific requirements for the stability of your protein that need to be taken into account during conjugation? (i.e. ionic strength, pH, temperature)?COMMENTS (Material # 2)Please tell us any additional requirements for conjugation # 2.CONJUGATION # 3LABEL # 3Acridinium Ester (D32-999)Alexa Fluor® 488 (D32-999)Alexa Fluor® 514 (D22-999)Alexa Fluor® 546 (D51-999)Alexa Fluor® 555 (D36-999)Alexa Fluor® 594 (D48-999)Alexa Fluor® 647 (D29-999)Alexa Fluor® 700 (D24-999)Alexa Fluor® 750 (D45-999)Alkaline Phosphatase (AP-999)APC (Allophycocyanin) (D3-999)APC Cyanine 7 (D37-999)Atto 490 LS (D31-999)Biotin (B1-999)B-PE (B-Phycoerythrin) (D4-999)Carboxyfluorescein (FAM-999)Cyanine 5.5 (D34-999)DBCO-PEG13 NHS ester (D43-999)DIG (Digoxigenin) (DIG-999)DNP (Dinitrophenol) (DNP-999)DyLight® 405 (D20-999)DyLight® 488 (D8-999)DyLight® 550 (D9-999)DyLight® 594 (D21-999)DyLight® 650 (D10-999)Europium 1024 (D17-999)Europium 8044 (D18-999)FITC (FITC-999)HRP (Horseradish Peroxidase) (HRP-999)iFluor® 790 generic only (D56-999)Pacific Blue (D25-999)PBXL-3 (D7-999)PEGPerCP - (Peridinin Chlorophyll) (D11-999)PerCP - Cyanine 5.5 Tandem (D27-999)PerCP- Cyanine 7 Tandem (D23-999)Propargyl PEG (D49-999)RPC (D38-999)RPE (R-Phycoerythrin) (D5-999)RPE-Alexa Fluor® 700 Tandem (D28-999)RPE-Cyanine 5.5 Tandem (D15-999)RPE-Cyanine 7 Tandem (D16-999)RPE-DyLight® 594 Tandem (D12-999)RPE-DyLight® 633 Tandem (D13-999)RPE-DyLight® 650 Tandem (D14-999)Ruthenium (Sulfo-Tag) (D33-999)SureLight™ 488 (D44-999)Terbium (TB-999)Other (please specify)Other Label # 3Please specify Label # 3MATERIAL # 3(Required)Name or Codename of Antibody or Protein: Please provide an identification that will match how the material is labeled on the vial(s).AMOUNT (Material # 3)(Required)Amount of material to be labeled (mg)TYPE (Material # 3)(Required)e.g. protein, antibody, IgG and subclasses, IgMSOURCE (Material # 3)(Required) Customer will provide Columbia Biosciences will source material to be labeledMOLECULAR WEIGHT (Material # 3)EXTINCTION COEFFICIENT (Material # 3)SPECIAL HANDLING (Material # 3)STARTING BUFFER (Material # 3) Contains carrier proteins (will reduce yield) Azide free Endotoxin free Other (Please specify)OTHER STARTING BUFFER (Material # 3)FINAL BUFFER REQUIREMENT (Material # 3) Azide free Endotoxin free Other (Please specify)OTHER FINAL BUFFER REQUIREMENT (Material # 3)Please provide other final buffer requirements (if any).FINAL FORMAT (Material # 3) Liquid (DEFAULT) Lyophilized FrozenALIQUOTING (Material # 3)Please indicate if custom aliquoting is required. The final conjugate will be vialed in bulk unless otherwise specified. Custom aliquotingCUSTOM ALIQUOTING (Material # 3)Please specify aliquot volume and concentration. Material will be sent in bulk if left blank.SHIPPING (Material # 3)Please indicate how the final conjugate should be shipped from Columbia Biosciences to the shipping address. The final conjugate(s) will be shipped on blue ice unless indicated otherwise. Dry iceSTABILITY INFOAre there any specific requirements for the stability of your material that need to be taken into account during conjugation? (i.e. ionic strength, pH, temperature)?COMMENTS (Material # 3)Please tell us any additional requirements for conjugation # 3.CONJUGATION # 4LABEL # 4Acridinium Ester (D32-999)Alexa Fluor® 488 (D32-999)Alexa Fluor® 514 (D22-999)Alexa Fluor® 546 (D51-999)Alexa Fluor® 555 (D36-999)Alexa Fluor® 594 (D48-999)Alexa Fluor® 647 (D29-999)Alexa Fluor® 700 (D24-999)Alexa Fluor® 750 (D45-999)Alkaline Phosphatase (AP-999)APC (Allophycocyanin) (D3-999)APC Cyanine 7 (D37-999)Atto 490 LS (D31-999)Biotin (B1-999)B-PE (B-Phycoerythrin) (D4-999)Carboxyfluorescein (FAM-999)Cyanine 5.5 (D34-999)DBCO-PEG13 NHS ester (D43-999)DIG (Digoxigenin) (DIG-999)DNP (Dinitrophenol) (DNP-999)DyLight® 405 (D20-999)DyLight® 488 (D8-999)DyLight® 550 (D9-999)DyLight® 594 (D21-999)DyLight® 650 (D10-999)Europium 1024 (D17-999)Europium 8044 (D18-999)FITC (FITC-999)HRP (Horseradish Peroxidase) (HRP-999)iFluor® 790 generic only (D56-999)Pacific Blue (D25-999)PBXL-3 (D7-999)PEGPerCP - (Peridinin Chlorophyll) (D11-999)PerCP - Cyanine 5.5 Tandem (D27-999)PerCP- Cyanine 7 Tandem (D23-999)Propargyl PEG (D49-999)RPC (D38-999)RPE (R-Phycoerythrin) (D5-999)RPE-Alexa Fluor® 700 Tandem (D28-999)RPE-Cyanine 5.5 Tandem (D15-999)RPE-Cyanine 7 Tandem (D16-999)RPE-DyLight® 594 Tandem (D12-999)RPE-DyLight® 633 Tandem (D13-999)RPE-DyLight® 650 Tandem (D14-999)Ruthenium (Sulfo-Tag) (D33-999)SureLight™ 488 (D44-999)Terbium (TB-999)Other (please specify)Other Label # 4Please specify Label # 4MATERIAL # 4(Required)Name or Codename of Antibody or Protein: Please provide an identification that will match how the material is labeled on the vial(s).AMOUNT (Material # 4)(Required)Amount of material to be labeled (mg)TYPE (Material # 4)(Required)e.g. protein, antibody, IgG and subclasses, IgMSOURCE (Material # 4)(Required) Customer will provide Columbia Biosciences will source material to be labeledMOLECULAR WEIGHT (Material # 4)EXTINCTION COEFFICIENT (Material # 4)SPECIAL HANDLING (Material # 4)STARTING BUFFER (Material # 4) Contains carrier proteins (will reduce yield) Azide free Endotoxin free Other (Please specify)OTHER STARTING BUFFER (Material # 4)FINAL BUFFER REQUIREMENT (Material # 4) Azide free Endotoxin free Other (Please specify)OTHER FINAL BUFFER REQUIREMENT (Material # 4)FINAL FORMAT (Material # 4) Liquid (DEFAULT) Lyophilized FrozenALIQUOTING (Material # 4)Please indicate if custom aliquoting is required. The final conjugate will be vialed in bulk unless otherwise specified. Custom aliquotingCUSTOM ALIQUOTING (Material # 4)Please specify aliquot volume and concentration. Material will be sent in bulk if left blank.SHIPPING (Material # 4)Please indicate how the final conjugate should be shipped from Columbia Biosciences to the shipping address. The final conjugate(s) will be shipped on blue ice unless indicated otherwise. Dry iceSTABILITY INFO (Material # 4)Are there any specific requirements for the stability of your material that need to be taken into account during conjugation? (i.e. ionic strength, pH, temperature)?COMMENTS (Material # 4)Please tell us any additional requirements for conjugation # 4.CONJUGATION # 5LABEL # 5Acridinium Ester (D32-999)Alexa Fluor® 488 (D32-999)Alexa Fluor® 514 (D22-999)Alexa Fluor® 546 (D51-999)Alexa Fluor® 555 (D36-999)Alexa Fluor® 594 (D48-999)Alexa Fluor® 647 (D29-999)Alexa Fluor® 700 (D24-999)Alexa Fluor® 750 (D45-999)Alkaline Phosphatase (AP-999)APC (Allophycocyanin) (D3-999)APC Cyanine 7 (D37-999)Atto 490 LS (D31-999)Biotin (B1-999)B-PE (B-Phycoerythrin) (D4-999)Carboxyfluorescein (FAM-999)Cyanine 5.5 (D34-999)DBCO-PEG13 NHS ester (D43-999)DIG (Digoxigenin) (DIG-999)DNP (Dinitrophenol) (DNP-999)DyLight® 405 (D20-999)DyLight® 488 (D8-999)DyLight® 550 (D9-999)DyLight® 594 (D21-999)DyLight® 650 (D10-999)Europium 1024 (D17-999)Europium 8044 (D18-999)FITC (FITC-999)HRP (Horseradish Peroxidase) (HRP-999)iFluor® 790 generic only (D56-999)Pacific Blue (D25-999)PBXL-3 (D7-999)PEGPerCP - (Peridinin Chlorophyll) (D11-999)PerCP - Cyanine 5.5 Tandem (D27-999)PerCP- Cyanine 7 Tandem (D23-999)Propargyl PEG (D49-999)RPC (D38-999)RPE (R-Phycoerythrin) (D5-999)RPE-Alexa Fluor® 700 Tandem (D28-999)RPE-Cyanine 5.5 Tandem (D15-999)RPE-Cyanine 7 Tandem (D16-999)RPE-DyLight® 594 Tandem (D12-999)RPE-DyLight® 633 Tandem (D13-999)RPE-DyLight® 650 Tandem (D14-999)Ruthenium (Sulfo-Tag) (D33-999)SureLight™ 488 (D44-999)Terbium (TB-999)Other (Please specify)Other Label # 5MATERIAL # 5(Required)Name or Codename of Antibody or Protein. Please provide an identification that will match how the material is labeled on the vial(s).TYPE (Material # 5)(Required)e.g. protein, antibody, IgG and subclasses, IgMAMOUNT (Material # 5)(Required)Amount of material to be labeled (mg)SOURCE (Material # 5)(Required) Customer will provide material Columbia Biosciences will source material to be labeledMOLECULAR WEIGHT (Material # 5)EXTINCTION COEFFICIENT (Material # 5)SPECIAL HANDLING (Material # 5)STARTING BUFFER (Material # 5) Contains carrier proteins (will reduce yield) Azide free Endotoxin free Other (Please specify)OTHER STARTING BUFFER (Material # 5)FINAL BUFFER REQUIREMENT (Material # 5) Azide free Endotoxin free Other (Please specify)OTHER FINAL BUFFER REQUIREMENT (Material # 5)Please provide other final buffer requirements (if any).FINAL FORMAT (Material # 5) Liquid (DEFAULT) Lyophilized FrozenALIQUOTING (Material # 5)Please indicate if custom aliquoting is required. The final conjugate will be vialed in bulk unless otherwise specified. Custom aliquotingCUSTOM ALIQUOTING (Material # 5)Please specify aliquot volume and concentration. Material will be sent in bulk if left blank.SHIPPING (Material # 5)Please indicate how the final conjugate should be shipped from Columbia Biosciences to the shipping address. The final conjugate(s) will be shipped on blue ice unless indicated otherwise. Dry iceSTABILITY INFO (Material # 5)Are there any specific requirements for the stability of your material that need to be taken into account during conjugation? (i.e. ionic strength, pH, temperature)?COMMENTS (Material # 5)Please tell us any additional requirements for conjugation # 5.CAPTCHA
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