Custom Quote Request

To request a custom Reference Standard, please fill out and submit the form below. Our Technical Service team will review your request and typically respond within 2 business days to discuss or confirm the details with you.

First name *

Last name *

Email address *

Company Name *

Phone *

Country *

Street Address

Address 2

City

State/Province

Zip/Postal Code

QUANTITY and SIZE

Minimum quantity and size for custom requests:

Organic: 5 x 1 mL
Inorganic: 1 x 500 mL

Size *

Size (other) *

Quantity *

Quantity (other) *

SOLVENT and CONCENTRATION

Choose one: *

Neat

Solution

Choose a solvent for me

OR
My preferred solvent is...

My preferred solvent is...(other) *

Concentration unit *

Components

Upload a file or enter components in fields below.
Recommended: If uploading a file, you may download template to use.

Download Template

Upload files

Accepted file types: xls, xlsx, doc, docx, tab, csv, txt.

CAS Number, Component Name, or Element Symbol
Concentration *

COMMENTS

Additional info (optional):

* Required fields. All must be completed to submit Custom Quote Request.

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