Standard Order Form For Custom Synthesis
of Organic or Inorganic Compounds

Instructions
  1. Please fill all the possible information about your compound to the best of your knowledge. References must be attached to the order or a search fee will be required in advance.
  2. For new compounds, the structure of the molecule is requested.
  3. No order will be processed if the items marked with a star (*) are not properly filled.
  4. Inquiries may be done via mail, fax, or e-mail to: Dr. Chaim Levi.


Chemical Name

CAS#
IUPAC Name
Common or Trade Name

Physical Properties
Melting Pt 

Flash Pt 
Boiling Pt  Vapor Pressure 
Vapor Pressure  Chemical Formula 
Formula Wt     
Other

Please fax the Structural Diagram of the molecule
(if known ), to (973)-589-8013
Literature References or copy and paste copy of articles if available, or fax to (973)-589-8013

   
Best current alternate synthesis (list references or  copy and paste copy of printed articles , or fax to (973)-589-8013

   

Proposed scale of the final product (Total amount, specify units ...lbs, kilos etc....)
Packaging Specs. (bags, sealed ampoules, flasks, etc)
Purity %
If possible submit information about the following, hazards, Use of the product, MSDS, (if it exists), methods to determine purity and all other known pertinent information (the more information provided about the product, will reduce our research time, thereby reducing your preparation cost)... Please print out and fax to (973)-589-8013


Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL


Please provide the following ordering information:

SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country


Fees
  • If no references are provided:
    A search fee will be charged depending on the difficulty in finding the proper references. The minimum fee is $500. Once a proper synthesis method is found, a price for the project will be given.
  • If references are provided:
    The search fee is waived, and a budget will be prepared for your consideration within 5 business days.
Payment Schedule
For any research project 25% of the total price plus the cost of chemicals and services shall be paid in advance.