DNA Sequencing Core
University of Michigan
Affymetrix Full Service Sample Submission Form:
Date:
Principal Investigator: ____________________
Sequencing Core PI login:____________________
E-mail:______________@_________________
Phone:____________________________________
Lab Contact:_____________________________
E-mail:______________@_________________
Service
I.
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b.
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Affymetrix GeneChips
Human Gene ST 2.1 Strip (4 arrays)
Human U219 Strip (4 arrays)
Human U133 Plus 2.0 (1 array)
Mouse Gene ST 2.1 Strip (4 arrays)
Mouse 430 2.0 (1 array)
Rat Gene ST 2.1 Strip (4 arrays)
Other: _______________________
User Supplied:_________________
Full Service processing of Total RNA
a.
Std: >250ng and >50ng/ul
b.
NuGen: >10ng and >2ng/ul
Total
Sequencing Core PI login:____________________
Phone:____________________________________
Cost
Quantity
Subtotal
$500.00
$320.00
$250.00
$500.00
$250.00
$500.00
$
$N/C
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$220.00
$310.00
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By signing below I agree to the following terms:
1.
2.
3.
Agree that the items and services request above will be recharged upon completion of project.
Any rebilled GeneChips and reagents have a 6-month shelf-life from time of receipt at the Core.
The core is not responsible for projects not completed within 6 months of initial request.
Membership support: __Cancer Center
__Shock Center
__Rheumatic Diseases ___MDRTC __GI/Peptide Center
Project Name:______________________________________________________________________
Billing Department____________________________________ UM Short Code:|__|__|__|__|__|__|
Print Principal Investigator Name: ______________________________________________________
Principal Investigator Signature:_____________________________ Date:______________________
University of Michigan
Affymetrix GeneChip® Array Core
Total RNA Sample Submission Form
Name/Sample #
NanoDrop/UV Conc.
Volume Submitted
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*** Please pick up your samples ASAP once your experiment is completed.
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Data Analysis:
Please provide or attach a description of the experimental data analysis you would like performed when the arrays are completed.
Example: Samples 1-3 (Control untreated), 4-6 (PC3 untreated), 7-9 (Control drug treated 3hr), and 10-12 (PC3 drug treated 3hr) are biological replicates. am
interested in comparing the gene expression of the control vs PC3 cells, the treated vs untreated, and the interaction between cell type and treatment status.