Sample Submission Request

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When completing the sample submission form, please make sure that you use the same email address to which the link was sent.

Sample Submission Form

"*" indicates required fields

Country

Company Name*

First Name*

Last Name*

Email*

Phone Number*

Street Address*

City*

State*

Sample Type*

Number of Samples*

Please enter a number from 0 to 20.

Can we use the results in an application note*

Yes

Description of Sample/ Additional Information

What is the the objective of this analysis?

Stability & Storage Conditions

Please leave blank, if no special conditions are required.

Special Handling Requirements

Sample Concentration(s)

Sample Weight

Sample Impurity(%)

% Target in Matrix

Molecular Weight

m.p./b.p.

Solvent

Solubility

Experimental Conditions

Accessories Required

Detector Type and Wavelength(s) (if required)

Other Detector Parameters

Do not send your samples until you receive a case number.

Once you receive a confirmation email with the case number, please send your samples as below.

JASCO
Attn: Applications Department & Case Number
28600 Mary’s Court
Easton, MD 21601

If you do not receive a confirmation email within two hours please contact your local JASCO representative.

We respect your privacy. We never disclose data to any third-party without prior approval. If required, we will also enter into a non-disclosure agreement (NDA).

JASCO

Sample Submission Request

Sample Submission Form

Spectroscopy Measurement Conditions

SFE Method Conditions

Complete the following if HPLC analysis is required

HPLC/SFC Method Conditions

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