Custom Oligo Synthesis Purchase Order

Custom Oligo Synthesis Request Form

Step 1 of 2

Oligo Name(Required)

Please designate a name for your custom oligo.

Chemistry

Custom Oligos

Default (DNA)

Customize

Sequence Input(Required)

Synthesis Scale OR Delivered Amount

Purification

5' Modification

Internal Modification

3' Modification

* All oligos are mass-spec analyzed for QC.

Notes and Comments

Please provide any additional information or requests you may have regarding this oligo.

Additional Oligos

Name	Oligo Price	Actions

There are no Additional Oligos.

If you’d like to request any additional oligos, please enter them here.

Name(Required)

First Last

Organization

Street Address(Required)

Address Line 2

City(Required)

State / Province / Region(Required)

Zip / Postal Code(Required)

Country(Required)

Email(Required)

Phone

Order Subtotal

Price: $187.72

Additional Aptamers Price

Price: $0.00

Grand Total

Shipping

U.S. $69.00

International $249.00

Method of Payment(Required)

Payment Method

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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Max. file size: 50 MB.

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