DNA Sequencing Request Form

Please fill the following form, the hit "submit".

Request by:		Date:
Department:		Account #:
Mail Stop:		Email Address:
Telephone #:		Faculty:

Please complete the following chart before submitting request. The Core Facility will provide the following common primers, if you wish to use them: T7, T3, SP6, M13R, M13U.

Template Name (only 8 characters per template; use standard numbers and letters)	Template Type	Template Concentration ng/ul	Template Length	Primer Name	Primer Concentration pmol/ul
	Plasmid PCR Phage			ng ul
	Plasmid PCR Phage			ng ul
	Plasmid PCR Phage			ng ul
	Plasmid PCR Phage			ng ul
	Plasmid PCR Phage			ng ul
	Plasmid PCR Phage			ng ul
	Plasmid PCR Phage			ng ul
	Plasmid PCR Phage			ng ul
	Plasmid PCR Phage			ng ul

Number of templates:

Number of reactions:

Do you want your electropherograms:
emailed?
printed?

DNA preparation:
Purification method:
Kit used:

Additional Comments (use of this service with another service, and/or any additional information):

Center for Biotechnology and Genomics Info:
Mailing: Mail Stop 3132, Experimental Science Building, Room 101, Canton & Main, Texas Tech University, Lubbock Texas 79409
Shipping: Canton & Main Street, Experimental Science Building, Room 101,Texas Tech University, Lubbock Texas 79409
Telephone: 806.742.3722 ext 225
Fax: 806.742.3788
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