Enquiry Form

Please fill in the enquiry form to request more information about Activotec's products and services.

* Indicates required fields. These fields must be completed for the form to send.
1. Please enter your details below
Title
Forename(s)
Surname*
Company Name (if applicable)
Job Title (if applicable)
Address

Postal/Zip code

Country

Telephone number

Fax number (if applicable)

Email address*

Web site address (if applicable)

2. Which products are you interested in?
Custom Peptides
 Custom Peptide Synthesis

Instrumentation
 Activo-P11 Automated Peptide Synthesizer
 Activo-P14 Peptide Synthesizer
 Activo-P12 Cleavage Device
 Activo-P11 LS Automated Peptide Synthesizer
 Activo-S44 Automated Oligosaccharide Synthesizer
 PLS Organic Synthesizer
 Tetras Multiple Peptide Synthesizer
 Technical Support for other Synthesizers
 UV Synthesis Monitoring
 Heated Reactors

Chemicals  Chemicals, Resins and Reagents
3. General enquiries and comments
Please enter any special requirements you would like to discuss with us in the box below.

How did you hear about Activotec?

4. Send the form