The CWRU Genomics Core Facility Genotyping/Gene Expression Request Form Simone Edelheit, Manager BRB 747A 368-1887 sxw94@case.edu Date: ______________________________________ Your Name: __________________________________ Primary Investigator: __________________________ Email: ______________________________________ Department: _________________________________ Account Number: _____________________________ Phone Number: ______________________________ Affiliation: Project Title: ________________________________ Funding: 1. CWRU NIH CCCC NSF CCF CTSC OTHER OTHER Sample Submission: Submit all samples in 96-well plate format, normalized to the appropriate concentration and volume. Additional charges will be applied if samples are not in plate format or at the correct concentrations. Email a plate map of sample name, well position, volume and quantity to the Core. Assay Type Illumina Genotyping Assay Illumina Methylation Assay Illumina Gene Expression Assay Concentration 50 – 100ng/ul 50 – 100ng/ul 200ng/ul Volume 20ul 20ul 10ul QC 260/280: 1.8-2.0 260/280: 1.8-2.0 260/280: 1.8-2.0 Price / Chip $250 $350 $150 *Prices listed include ONLY a processing fee. Reagents are extra and are purchased directly through Illumina. 2. BeadArray Information: BeadChip Type: __________________________________________ # of samples: ________________ # of chips: __________________ GCF Purchases Reagents: ___yes / no____ # Sample name Well Position Volume (ul) DNA quantity (ng/µl) Comments 1 2 3 4 5 6 7 8 9 10 11 12 Processing Fee: Reagents: Total: $________ x ________ # chips Illumina Genotyping – Gene Expression Request form, updated July 2015