Genomics Core Sample Submission Form

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Ship or deliver samples to:
Genomics Core
c/o Graham Wiley
Oklahoma Medical Research Foundation
825 NE 13th Street, Research Tower Rm 2101
Oklahoma City, OK 73104
Genomics Core
Sample Submission Form
Sample Requirements
SequencingDNA:
Whole genome- 100ng in 60uL H2O or 10mM tris
Exome- 700ng in 60uL H2O or 10mM Tris
RNA:
1ug in a wet ethanol pellet
MicroarrayRNA: A total of 1ug of RNA at a concentration of 100ng/uL in 3 aliquots as follows. Tube 1: 5uL, Tubes 2
and 3: 2.5 uL
Shipping and Delivery Instructions
Please ensure there is sufficient refrigerating material with your samples. The Genomics Core is not
responsible for samples which are compromised due to improper shipping.
If not hand delivered to the lab, samples must be shipped overnight for next day delivery. Please email the
tracking number to bebakm@omrf.org.
DNA: Bring on ice or with cold packs, ship on dry ice
RNA: Send samples on dry ice
Please complete the applicable sections of this form. Your samples will not be processed until a completed form is received. You
may either send a copy of this form with the samples or email the form to bebakm@omrf.org
1. Contact Information
Submitter Name
email
Phone
2. Billing Information
Fax
PI Name
Phone
Institution
Fax
Address
email
City
State
Zip
3a. Assay and Sample Information (Microarray)
Array Type:
Human HT-12_v4
Mouse WG6_v2
PO/Account#
Species:
Mouse Ref-8_v2
Number of Samples:
3b. Assay and Sample Information (Sequencing)
Sequencing Method:
HiSeq
HiSeq Rapid Run
MiSeq
Sample Type:
FFPE DNA
DNA
Version 1.3-20140714
RNA
Amplicon
Cycles
Library
Number of Samples:
Sample Format:
Number of Samples per Pool:
Tube
Plate
Plate Map(s) Included:
Species:
With Shipment
Via email
4. Project Description- please be as detailed as possible (Sequencing)
Please attach a pedigree diagram if applicable.
Sample Phenotype(s):
Sample Relationships:
Gene(s) of Interest:
Additional Information:
For information on the Bioinformatics Support offered by the Genomics Core, please visit our website.
Version 1.3-20140714
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