Speedy Upgrade Action Order Form Date: 08/03/2016 Purchase Order Number: Eurogentec Quotation Number: VAT Number: (if VAT exempt please attach a copy of the certificate) SHIPPING DETAILS INVOICING DETAILS Contact Person*: Institute/Company*: Department/Lab: Address*: Contact Person: Institute/Company: Department/Lab: Address: Post Code*: City*: Country*: Tel*: Fax*: Email*: NB: Incomplete forms could result in delays Post Code: Country: Tel: Fax: Email: City: PROGRAMME NAME: For a provided antigen programme, please provide information below Type of antigen*: Select one Total amount of antigen shipped*: In Solution. Number of tubes: Lyophilised. Number of tubes: Buffer composition: mg Required storage temperature of antigen* °C Each tube contains mg/ml of antigen in ml buffer. Each tube contains mg of antigen to solubilise in ml buffer. Use all of the available antigen Use µg / injection / host For an anti-peptide programme, please provide information below Peptide Sequence Information (for Double X, please provide 2 sequences) 1. Peptide #1: a. Peptide contains the protein’s first AA (N-terminus) last AA (C-terminus) b. Design completed by Eurogentec Customer Previously published 2. Peptide #2: a. Peptide contains the protein’s first AA (N-terminus) last AA (C-terminus) b. Design completed by Eurogentec Customer Previously published Neither Neither Immunisation Protocol Standard package Select A Standard Protocol Yes, I want to upgrade this programme to the Speedy protocol Carrier Protein Selection KLH OVA BSA THY MAP8 Other: Additional Services (Charges Apply) Screen pre-immune serum None Type of host: Select ELISA test None. Total IgG Purification None Affinity Specific IgG Purification NoneNumber of purifications to run NB: If prior to the purification you do not indicate which serum to use, the purifications will be performed on the serum giving the best ELISA results if available, otherwise the serum from each host will be pooled prior to purification. Comments: Eurogentec SA • Liege Science Park • Rue du Bois Saint-Jean 5 • B-4102 Seraing • Belgium • Tel +32 4 372 76 65 • Fax +32 4 264 07 88 RPM Liège • VAT (BE) 0427.348.346 • info@eurogentec.com • order@eurogentec.com • www.eurogentec.com Speedy Upgrade Action Order Form Animal Welfare Statement: I certify that the antigen is not dangerous for people or animals. The sample does not contain HIV or Hepatitis virus or purified proteins from such viruses. Recombinant proteins from human viruses will be accepted only if the production conditions are described. I certify that the antigen does not contain sodium azide. Signed ___________________________________________ Date: _____________________________ Instructions for anti-peptide protocol orders: 1. Peptide design please send your protein sequence to peptide.design@eurogentec.com 2. Your peptide design will arrive in 2-3 working days, copy these sequences in the appropriate box above 3. Email this form to order@eurogentec.com with attention Immunisation Department in the subject line 4. For any further questions please contact us info@eurogentec.com Required amount of antigen / max. volume Size of antigen: Type of animal Rabbit Guinea Pig > 18-20 kDa amount of antigen 20 - 200µg 10 50µg Size of antigen: Type of animal Rabbit Guinea Pig per injection and animal recommended amount of antigen max. volume (solution or gel piece) 100µg 500µl 30µg 125-150µl < 18-20 kDa amount of antigen 40 - 400µg 20 - 150µg per injection and animal recommended amount of antigen max. volume (solution or gel piece) 200µg 500µl 50µg 125-150µl Antigen format / Shipment: Format Shipment Lyophilised at room temperature Solution on dry ice Remarks if possible no urea (max. 6M), acetic acid, guanidine hydro chloride, .. Expected serum volume for the Speedy protocol Species pre-immune bleed medium bleed Rabbit 2ml 10ml Guinea Pig 1ml 1 - 2ml final bleed 50 - 70ml 3 - 5ml Speedy immunization protocols Day Injection Bleed 0 1. pre-immune 7 2. 10 3. 18 4. 21 28 medium final ELISA testing ELISA tests are for titre determination in crude or purified serum (100µg peptide required): AS-ELIS-01 (1 plate, 1 peptide, testing of pre-immune-serum, 1. & 2. test bleed from 1 animal) AS-ELIS-LL (1 plate, 1 peptide, testing of pre-immune-serum & 2. test bleed from 2 animals) AS-ELIS-LLDX (2 plates, 1 peptide/plate, testing of pre-immune-serum & 2. test bleed from 2 animals) Purification For removing unspecific antibodies the serum can be purified by IgG- or affinity purification. AS-PURI-SM ( 5ml serum [ 5mg peptide required], no QC) AS-PURI-MED (20ml serum [ 8mg peptide required], QC by SDS-PAGE) AS-PURI-01 (50ml serum [10mg peptide required], QC by ELISA, SDS-PAGE, conc. determination) Contact / Shipping address: EUROGENTEC S.A. • Immunization Department • LIEGE Science Park • 4102 SERAING • Belgium • Tel.: +32 4 372 7400 • Fax: 32 4 372 7500 Web Product information: www.eurogentec.com info@eurogentec.com Eurogentec SA • Liege Science Park • Rue du Bois Saint-Jean 5 • B-4102 Seraing • Belgium • Tel +32 4 372 76 65 • Fax +32 4 264 07 88 RPM Liège • VAT (BE) 0427.348.346 • info@eurogentec.com • order@eurogentec.com • www.eurogentec.com Speedy Upgrade Action Order Form Orders: For a peptide design: For ongoing programme information: For latest offerings: order@eurogentec.com Order-Fax: +32 4 264 0788 peptide.design@eurogentec.com antibodies@eurogentec.com www.eurogentec.com/proteomics.html Eurogentec SA • Liege Science Park • Rue du Bois Saint-Jean 5 • B-4102 Seraing • Belgium • Tel +32 4 372 76 65 • Fax +32 4 264 07 88 RPM Liège • VAT (BE) 0427.348.346 • info@eurogentec.com • order@eurogentec.com • www.eurogentec.com