Civility:
Mr
Mrs
Miss
Fullname: *
Company/Site:
Unit:
Laboratory:
Building/stages:
Address:
Postal code/ZIP:
City:
Country:
France
Albania
Algeria
Andorra
Argentina
Armenia
Australia
Austria
Belgium
Belarus
Bolivia
Bosnia and Herzegovina
Brazil
Bulgaria
Canada
Chile
China
Colombia
Croatia
Denmark
Egypt
Estonia
Finland
France
Germany
Greece
Haiti
Hong Kong,(China)
Hungary
Iceland
India
Indonesia
Ireland
Iran, Islamic Republic of
Israel
Italy
Ivory Coast
Japan
Latvia
Lebanon
Liberia
Liechtenstein
Lithuania
Luxembourg
Malta
Morocco
Mexico
Monaco
Norway
Netherlands
Poland
Portugal
Romania
Russia
Saudi Arabia
Senegal
Slovenia
Slovakia
Spain
Sweden
Switzerland
Tunisia
Turkey
Ukraine
United Kindom
United States
United Arab Emirates
Viet Nam'
Other,precise in 'your message' part below.
Phone:
email: *
Development of Polyclonal Antibodies:
1.Choose the type of immunogen to use:
Soluble Proteins
Particulate Proteins:
Virus (inactivated)
Yeast (inactivated)
Bacteria
Carbohydrates:
Polysaccharides
Glycoproteins
Haptens:
Peptides
Chemical Molecule
2.Choose your animal:
Rabbit:
81days or
53days
-
Goat (81Days) -
Guinea pig (81Days)
Chicken (83Days) -
Rat (74Days)
-
Mouse (51Days)
3.Choose your project:
Full Package including:
Peptide design,
Peptide synthesis
Peptide conjugation
Immunisations
ELISA tests
Immunisations
Standard Package including:
Development of Monoclonal Antibodies:
Anti-protein
Anti-peptides(s)
Production of antibodies in vivo & in vitro
Purification & Immunopurification of antibodies
Labelling of antibodies
Your message: (either in French or in English)
If you have any problem to complete this formulary, do no hesitate to inform our webmaster or to contact us .
Les informations recueillies font l’objet d’un traitement informatique destiné à pouvoir traiter vos remarques. Le destinataire des données est Covalab. Conformément à la loi «informatique et libertés» du 6 janvier 1978, vous bénéficiez d’un droit d’accès et de rectification aux informations qui vous concernent. Si vous souhaitez exercer ce droit et obtenir communication des informations vous concernant, veuillez nous contacter par email: enquiries@covalab.com
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Covalab s'engage à ne transmettre aucune information vous concernant. La personne complétant ce formulaire est tenue seule responsable des informations transmises. Covalab s'engage à répondre à toutes demande d'information par ce formulaire à condition qu'au minimum le champ email soit correctement renseigné, que la demande soit explicite. et hors problème technique indépendant de Covalab.
Data protection statement: Information supplied will be held securely and confidentially on the Covalab's data base in accordance with the French data protection law act (01/06/1978). Data is used to answer to your demand. Any information will be treated confidentially and will not be disclosed to external organisations other than Covalab and agents acting for Covalab. You have a right of view and of modification about your information, if you wish so, please email to enquiries@covalab.com . We use the information we collect to provide the services you request. Our services may include the display of personalized content and advertising. If you do not wish to receive adverts please untick the previous case (in the french part). Your demand we will be treated as soon as possible provided that the formulary is completedcorrectly (at least a correct email address). If Covalab does not contact you few days after sending this formulary it is because of a technical problem during the sending of the formulary. Then, please try again or contact us. It is your responsibility to ensure that the request is clearly formulated.