Protein Expression & Purification Custom Service Requirements Form Please submit completed form to geneartprotein@lifetech.com. * Mandatory fields for Quote generation Contact Information*: Name: Organization: Address: Email: Phone Number: General Information: Expression only: Deliver Frozen Cell Pellet Deliver Conditioned Medium Service(s)desired*: Expression and Purification Target*: Protein Name: Accession #: or Other: Protein Sequence: Note: Sequence information is mandatory for Quote generation Target Properties: Species: Biosaftey Level: MW: Molecular extinction coefficient (ε): Expected Localization: Cytosolic Other: Secreted unknown Nuclear Transmembrane Please note: Purification Services are restricted to non-membrane bound proteins Expression System desired*: Secretion Leader: please add artificial leader Freestyle™CHO Freestyle™293 Baculovirus, Sf9 (Bac-to-Bac®) no preference Expi™293 no preference, please suggest Comments: Page 1 of 2 SECTION I Expression plasmid construction Start with Gene Synthesis (recommended to optimize expression) Expression plasmid already stored at Thermo Fisher Starting Material: Expression plasmid provided by client Other: Note: In case the starting material will be provided by client, please provide full sequence of expression construct. Location of Tag: N-term C-term Affinity Tag(s): no preference, please suggest Preferred Tag to be used 6xHis GST Strep Other: no preference, please suggest Tag cleavage required? Yes: No Comments: SECTION II Expression 1L Pilot Study (standard starting volume) Expression Scale*: 2L 3L Other: 4L 5L 10L 20L 50L Comments: SECTION III Purification Desired purity: Product Requirements: Note: No guarantees for the above requirements can be given before pilot study has been completed Preparative SEC Storage Buffer Composition: Final Formulation: Concentration: Endotoxin Limit: Analytical SEC (HPLC) Additional Purification Steps Yield needed: Other: none Other: no preference, please apply standard (PBS) Dispensing Size: no preference, please apply standard (2mL aliquots) Storage Temp.: no preference, please apply standard (dry ice) Comments: For Research Use Only. Not intended for any animal or human therapeutic or diagnostic use. Page 2 of 2