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:______________@_________________
Sequencing Core PI login:____________________
Phone:____________________________________
Service
I.
a.
b.
c.
d.
II.
Cost
Affymetrix GeneChips
Human Genome SNP 6.0 (1 array)
Axiom Biobank Arrays (96 arrays)
Other: _______________________
User Supplied:_________________
$ 300.00
$ 9600.00
$
$N/C
Quantity
Subtotal
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
Full Service processing of Total RNA
15ul x 50ng/ul in Low EDTA TE – SNP6 (1)
20ul x 10ng/ul in Low EDTA TE – Axiom (1)
a.
b.
Total
$210.00
$ 15.00
_______
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
Please attach a plate map or list of samples submitted. Thanks
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.