Sequencing Order Form

 

Name: 
Date: 
E-Mail: 
Phone: 
Lab PI Name: 
FOAP NUMBER:
Department: 

How do you want your sequences sent?  e-mail floppy disk CD ftp

AS LOW AS $2.50/SAMPLE

Reaction
#
DNA Template Name
 DNA Template Source
(plasmid, ss, PCR)
Size and Concentration Sequencing Primer
and Concentration
Example DLN-1 plasmid
4kb
200ng/uL		 m13 reverse
(20ng/uL)
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