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qPCR Service Request Form
qPCR Service Request Form
Click to download and print the
qPCR Service Request Form
Contact Email
*
Is your project urgent?
*
Yes
No
If yes, what is the project deadline?
*
MM slash DD slash YYYY
Project(s) Information
Does the information apply to ALL samples submitted?
*
Yes
No
If NO, please provide project information for additional samples in a separate form.
Sample(s)
Please attach file containing samples ID
Drop files here or
Select files
Max. file size: 98 MB.
Target(s) and Primer Sets
Target (e.g. gene name)
Will you provide the primers sequences?
*
Will you provide probes?
*
Will you require optimization of the reaction(s)?
*
For standard qPCR, indicate absolute vs relative quantification
If you are requesting DNA/RNA isolation:
Indicate source
Stool
Saliva
Plaque
Biofilm
Blood
Serum
Tissue
Other
Not applicable (I am submitting DNA/RNA)
If other:
Indicate preservant (e.g. ethanol, RNA later) if any
If you are submitting DNA or RNA indicate:
Nucleic acid purification method
Elution buffer
Concentration (indicate in sample ID spreadsheet)
Quantification method
Total volume
Additional Services Requested
Sample storage
DNA quantification and QC
Δ