DNA Sequencing Request Form
Please fill in the following form, then hit "submit".
| Request by: |
Date: |
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| Department: |
FOP#: |
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| Mail Stop: |
Email Address: |
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| 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. |
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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 |
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Plasmid
Phage |
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Plasmid
Phage |
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Plasmid
Phage |
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Plasmid
Phage |
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Plasmid
Phage |
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Plasmid
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Plasmid
Phage |
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Plasmid
Phage |
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Plasmid
PCR
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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):
