Order Request Form

The following form must be completed in full and submitted electronically via the button at the end of the page.

EF5 is supplied at no charge by the National Cancer Institute.

You are requested to calculate the minimum amount required as per the information on the preceding page. A typical "kit" consists of 75mg EF5, 3mls of Regular Stain antibody, and 1 ml of Competed Stain antibody (75μg/ml) costing $390.00 plus shipping.

---

Order Information:

EF5 (no charge)		mg
α-EF5 (ELK3-51) Regular Stain	Alexa488 Cy3 Cy5 Biotin Unconjugated	μg ($1.30/μg)
α-EF5 (ELK3-51) Competed Stain	Alexa488 Cy3 Cy5 Biotin Unconjugated	μg ($1.30/μg)
α-EF5 concentrate	Alexa488 Cy3 Cy5 Biotin Unconjugated	μg

EF3 ($10.00 per mg)		mg
α-EF3 (ELK5-A8) Regular Stain	Cy3 Cy5 Unconjugated	μg
α-EF3 (ELK5-A8) Competed Stain	Cy3 Cy5 Unconjugated	μg
α-EF3 concentrate	Cy3 Cy5 Unconjugated	μg

Shipping Information:

Name:
Email:
Re-Enter Email:
Institution:
Lab Address:
City:
State/Province:
Country:
Postal Code:
Telephone: