PENN DNA SEQUENCING FACILITY Location: Tel: Fax: Website: D1 Richards Building 215/898-7407 215/573-9327 http://www.med.upenn.edu/dnaseq/index.html Mailing Address: B1 Richards Building 3700 Hamilton Walk Philadelphia, PA 19104-6085 ______________________________________________________________________ REQUEST FOR CONSTRUCTION OF TARGETING VECTOR Billing contact: _____________________________Tel: _________________________________ 26 Digit Penn Account: ___________________________________________ PO number (for outside orders only)____________ Principal Investigator: ____________________________ Date:____________________________ Tel: _________________________________ Contact person: ___________________________________ Tel: ___________________________ E-mail: ____________________________________________ Fax: ______________________________ This is an order form for construction of a targeting vector by the Penn DNA Sequencing Core according to the design by the Penn Gene Targeting Service (requested on separate order form) and in collaboration with the Penn Gene Targeting Service. Usually, BAC recombineering will be used for construction of the vector. No details of the vector need to be mentioned here, except for the name of the gene to be targeted: Name of the gene to be targeted: _______________________