Download Genotyping Services Form S

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GENOTYPING SERVICES (S)
Please print and complete this form and forward/fax to MDS. We will contact you for a detailed quotation.
Institution:
Investigator:
Email:
Billing Address:
Submitted by:
Date Submitted:
/
/
PO #:
Shipping Address:
Zip:
Fax:(
State:
)
-
Phone:(
City:
)
-
Ext:
Services Requested:
Chromosome Enumeration
Karyotyping
FISH Services
Cell Line Characterization
Sex Determination
Isoenzyme profiles
DNA Fingerprinting
Isoenzyme Analysis
Cell Line Identity Verification
Fluorescent antibody staining
Authentication Services
Intraspecies cross-contamination verification
DNA fingerprinting
STR
SNP
Microarrays
Please provide us with an overview of your project:
Cell Line Info
Species
Sex
Age
Passage Characteristics
Growth Medium
Doubling Time
Name
Probe
Species:
Human
Mouse
Rat
Others:
Name:
Vector
Insert Size:
kb
Insertion Site:
(eg: EcoRI/Xbal)
DNA concentraion:
~ 1.0 ug/ul
Human Chromosome
Mapping on:
Mouse Chromosome
Specific Cell Line
Tg mouse chromosome
Other:
Additional photo:
sets
Presentation slide:
sets