DNA Sequencing Order Form

 

 

 

 Full Name:

 Company / Institute:

 Department:

 Position:

 Invoice Owner:

 Address:

 Phone no:

 Fax no:

 E-mail:

 

 

 

<%for cur=1 to 40%> <%Next%>

 

Sample name

Sample type

Concentration

 [ng/µl]

Length

Size to be Sequenced

 [ bp ]

Vector

Purification

Primer selection

Primer name

Primer con.

[ pmol/µl ]

<%=Cur%>

 

 Primers to be synthesized by Faza:   

 If yes please fill in the table:

 

<%for cur=1 to 9%> <%Next%>
Rows Name Sequence
<%=Cur%>

 

Comments: