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Transgenic Mouse Service Order Form

Please complete the following form when submitting a DNA sample for pronuclear injection. Ideally, the on-line form and the DNA sample should be submitted at the same time so that all DNA samples will be injected in the order in which they are received. If this form is completed prior to submission of the DNA sample then the date that the DNA is received will determine the order in which it is injected.

Your Name:
Your PI:
Institution:
Department:
Charging Instructions: Project Task Award Expenditure Organization
YCCC Member?: Yes          No
Room/Building:
Phone:
Fax:
E-mail:
Name of Transgene:
Promoter Used:
Length in kB:
YACUC Protocol # that describes the requested transgenic mice:
Method of DNA Purification:
For the recommended protocol, click HERE
DNA Concentration:
Recommended DNA Concentration = 1 - 5 µg/ml
Date DNA Submitted:

     

Click "Submit Order" to submit order electronically

This information adapted for the WEB and maintained by Greg Blasko;
Last modified: November 8, 1999