DNA Sequencing Facility at UVa

DNA Sequencing Request Form.

If you want to submit more than 20 samples at a time, please make another request.

Note: italicized fields are mandatory.

P. I. Name: Last	First
User Name: Last	First

Lab Address:

PTAO#: - - - Please check if new Account

Department: Institute (If not UVa)

Requested Date (MM/DD/YY):

Total number of samples in this form(No more than 20):

Data Delivery method:

Phone #: Fax #:

E-mail address:

Order Comments (add billing address here for external orders):

Enter your sample information below.

#	Sample Name	Choose primers from core?	Primer	Vector Type	Purf. Meth.	Comments
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Before submitting this form, please print out a hard copy and attach it to the samples to be delivered to the DNA sequencing lab.

After hitting the Submit button, please wait for confirmation page to appear. Bring in the samples along with the printed form to the DNA Sequencing Lab (Note that we have moved to Room 1076 Jordan Hall). Our hours are 9:00-5:00 Monday-Friday, although we are often open earlier and later (you may call before you come if you will be in the off hours).

Last updated on 2/6/2013