Service Request Form

Request form for custom
oligonucleotide synthesis and fluorescence labeling

Please complete this form and submit by email
orders@bioacts.com or by
fax to +82-32-818-8206, and we will send back
the estimate
as soon as possible. For questions,
please contact us at support@bioacts.com.

Contact information

Name
Oranization
Address
Email
Phone/FAX

Checking for previous order(please mark appropriate box)

ORDER TYPE

Types of synthesis service you want (please fill in relevant fields)

Name of oligomer
Synthesis scale


Purification method

Sequence (5’ to 3’)
5’-Modification


3’-Modification


If you have trouble for choosing suitable materials such as dyes or quenchers for 3’or 5’ position modification,
or want to modify an internal position, please describe your specific request in below comment box. We will help you to select the optimal
modifications for your research.

Comments

Please describe your specifications or precautions. We will proceed as requested.
You can use below space to discuss any special requests you might have.

Comments