GPC Polymer Analysis Survey

Please tell us about your sample

(Required.)

Sample Name:

Molecular Weight/Molar Mass Range (g/mol):

Concentration (mg/mL):

Approx. Purity (%)%

Does your sample need special handling?

Describe your sample (i.e. additives, functional groups, etc.):

Indicate which is the best solvent for your sample (THF, DMF, or chroroform):

Shipping solvent (THF, DMF, or chloroform)

Shipping condition (Solid or liquid):

How should sample be stored?

Other storage:

Please tell us about your GPC conditions

(Required.)

GPC mobile phase (THF, DMF, or chloroform):

What is concentration of polymer you inject (mg/mL)?

What injection volume do you use (µL)?

Can the sample be detected by UV? What wavelength?

Can you provide with a copy of the method you use?

Can you provide us with a chromatogram from your current method?

Please tell us about your expectations

(Required.)

What type of analysis is expected?

What do you expect to see in terms of results?

Please tell us about sample safety and disposal

(Required.)

List hazardous components and special handling precautions:

Do you want Tosoh Bioscience to dispose of the submitted samples or have the samples returned?

If you want Tosoh Bioscience to dispose of the sample, please list disposal method:

Please tell us if and how Tosoh Bioscience can use your sample results

(Required.)

Is Tosoh Bioscience allowed to use analysis results of your sample for marketing purposes, i.e. catalog, application note, website, etc.?

If yes, should sample identity be anonymous? For example, use of "commercial resin" in place of "TSKgel® Ether-5PW Hydrophobic Interaction Chromatography resin".

Comments:

Name(Required.)

Company(Required.)

Address 1(Required.)

Address 2

City/Town(Required.)

State/Province(Required.)

Zip/Postal Code(Required.)

Email Address(Required.)

Work Phone Number(Required.)