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Enquiries are welcomed for the radiolabeling of any type of compound. To ensure that a reply to any enquiry is rapid and complete, it is important to provide as much detail as possible.
Title: First Name(s):  *
Last Name:  *
Occupation/primary role:
Company/Organisation:  *
Department:
Mail Stop:
P.O. Box/Street:
City/Town:
State:
Country:  *
Postcode/ZIP Code:
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Radionuclide 2H
3H
13C
14C
15N
 *
Other radionuclde
Compound name  *
Is Structure available? Yes
No
 *
Requested label position
Merck Index or Chemical Abstract Number
Specific Activity Amersham Recommended Specific Activity
Other (Please fill in the box below)
 *
Activity range or minimum acceptable (mCi/mmol)
Units Ci/mmol(3H,125I)
mCi/mmol(14C)
g/mol(stable)
 *
Minimum Radiochemical purity >=90%
>=95%
>=97%
>=98%
No Purification, supply as produced
Other (Please fill in the box below)
 *
Minimum Purity
Analytical method TLC
HPLC
GLC
Other (Please fill in the box below)
Other analytical method
Physical form Solid
Liquid
Gas
Solution
Preferred solvent
Radioactive concentration
Required delivery Standard
Other (Please fill in the box below)
 *
Date or time frame
Quantity required.

Please specifiy details e.g. number of vials in various mCi sizes

*
Is this material for use in a high throughput screen? Yes
No
Using SPA? Yes
No
Is bead binding testing required? Yes
No
Information available
(Please fax available details to your local Amersham Biosciences office.) 		Preparative method
Analytical method
None
Materials available 'Cold' (unlabelled) final material
Intermediates
Starting material
None
Would you like to speak to a technical expert? Yes (Please fill in the box below)
No
Prefered time and date

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