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CELL CENTER SERVICES Location: Tel: Fax: Website: UNIVERSITY OF PENNSYLVANIA Mailing Address: D2 Richards Building 3700 Hamilton Walk Philadelphia, PA 19104-6085 D2 Richards Building 215/898-2795 215/573-9327 http://www.med.upenn.edu/genetics/cellctr/services.shtml _________________________________________________________________________ REQUEST FOR PRODUCTION / PURIFICATION OF ANTIBODY OR RECOMBINANT PROTEIN AND LARGE SCALE CELL CULTURE SERVICES Principal Investigator: ____________________________ Fund No/ PO No: ______________________________ User Name: ___________________________________ Date:_____________________________________ Tel: _____________________________________________ Email:_______________________________________ Fax: _________________________________________ Prices subject to change. Contact Cell Center Services for current prices. Name of cell line(s): _____________________________________________________________________ Protein produced: _________________________________ Size of antibody / protein: ____________ kD Cell culture medium: _____________________________________________________________________ Please check the requested service(s) Supernatant production using roller bottle: indicate desired volume ________________ Large scale production of cells: indicate total # of cells needed _______________________ Antibody / recombinant protein production in a hollow fiber cartridge Cartridge set-up: medium large # of weeks: ________ Mab (IgG) purification (using protein G column) Protein purification (using other chromatography): Specify method ______________________________________ Other immunological assay or procedure (ELISA): specify___________________________________________ Staff Use Only Start Date _______________________ Revised 09272010 Completed ______________________ By: _________________________