For printable form, click here.
Customer contact and billing information
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Contact Information: |
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Name |
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Institution |
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Department / Building / Room / Floor |
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Street Address |
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City / State / Zip |
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Country |
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Phone Number |
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Fax Number |
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E-mail address |
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Billing Information: |
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Billing address if different from the above address |
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Purchase Order Number |
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Project Information |
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Quote Reference Number
[contact Applied Gene to get the quote and shipping instruction] |
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Identify control sample(s): |
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Briefly describe the data analysis to be conducted including any special needs or requests. |
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Sample Information
Project Outline
Applied Gene accepts cDNA and genomic DNA for real-time PCR service. However, it is important to provide the RNA information for best service resultsl.
RNA Sample Information |
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RNA Source (Species) |
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RNA Source (Tissue / Cell Line) |
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RNA Type (total, poly A+, aRNA) |
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For best results, we recommend all RNA samples meeting the following requirements:
- A260/A280 > 1.8
- A260/A230
- RIN > 8 (from Agilent 2100 BioAnalyzer)
Attach a picture of the RNA integrity analysis by either agarose gel or Agilent 2100 BioAnalyzer.
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RNA Sample Identification |
RNA Concentration |
RNA Quality |
cDNA concentration |
cDNA volume |
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(should match information on tube) |
( μg / μl ) |
A260/A280 |
A260/A230 |
( ng / μl ) |
(μl) |
1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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11 |
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12 |
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For additional samples, print an extra copy of this page.
Attach copy of RNA analysis results here |
