Auto-Western Quote Request Form

Thank you for choosing RayBiotech's Auto-Western Service. Please fill out the contact and service information below. When finished, press the submit button and our orders department will send you a quote. Click here to learn more about the Auto-Western Service.

*International Customers: Do not fill out this form if you are outside North America. Please contact your local distributor.

Auto-Western Quote Request Form

Contact Information

Name*

First Name* Last Name*

Contact Phone*

Contact Email*

University/Institution*

Billing Address

Auto-Western Information

Number of Samples*

Sample Type*

Number of antibodies*

Species*

Who will be providing the antibody? *Purchasing and additional fees may apply when using an antibody that is not from the Auto-Western Library*

Please list specific antibody name of all target antibodies. If applicable please also include the company and catalog number of target antibodies.*

Do you require RayBiotech to perform protein determination assay on your samples? (additional fees apply)*

If a cell or tissue lysate sample, did you include protease or phosphatase inhibitors? If so, please indicate concentrations.*

If a cell or tissue lysate sample, is a housekeeping protein determination needed? (Additional fees apply)*

If yes, what housekeeping protein do you need (you can send your own or consult with RayBiotech on the best option)?*

Any Special Requests?*

Email

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