Download fax form "Service Request" (MS Word)

Service request form
Fax: +49 (0)6227 544688
Date:
Name:
___ . ___ . 2003
______________________________________________________
Institute / Company:
____________________________________________
Department: ______________________________________________________
Group:
______________________________________________________
Street / City:______________________________________________________
Zip:
______________________
Country:
___________________
Phone:
______________________
Fax: ________________________
E-Mail:
______________________________________________________
Project:
S1:
yes ___
no ___
Number of fragments:
__________
Total length of construct:
__________ bp / kb
Source of DNA:
Type:
blunt / sticky / both
plasmid / genomic / phage / BAC / EST / CC / ___________
Complete sequences available: yes ___
no ___
some ___
Subcloning desired:
yes ___
no ___
Sequencing desired:
no / junctions / full (one strand) / full (both strands)