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Customized Compound Request Page

Name

Affiliation (Institution/Company)

Email Address

Phone Number

Compound Name or CAS Number

Brief Description of Compound or Desired Properties

Purpose/Research Area

Form Required:

In solution (10 mM in DMSO) Dry form

Volume Required:

1 mL 50 μL Custom Volume (μL/mL)

Upload Supporting Documents (Optional)

(e.g., Additional Specifications or References)

File Name	Size	Upload progress	Action

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