RNA ANALYSIS REQUEST FORM
Use this form to have the AECOM cDNA Microarray Facility analyze your RNA
samples on the Agilent 2100 BioAnalyzer. Please provide the following information:
 Researcher Name ________________________________________
 Researcher’s email ________________________________________
 P.I. Name
________________________________________
 Phone #
________________ Location _______________
 Grant #
________________________________________
 Date of Request
________________________________________
 I authorize the facility to wait for other sample submissions in order to reduce
my total cost : 2 days
up to 1 week
Number of RNA Samples to Analyze:
Nano Chip
Process ASAP
Pico Chip
Charge for RNA Analysis
FACILITY STAFF:
DATE
# SAMPLES COST PER TOTAL NAME OF SAMPLES Total aRNA / Approx.
CHARGE
(list
lowest
conc.
first)
RNA
mRNA
Conc.
COMPLETED
SUBMITTED SAMPLE
# SAMPLES
1
$20.00
$20.00
ON CHIP
2
$11.00
$22.00
PERFORMED
3
$9.00
$27.00
BY:
4
$8.00
$32.00
5
$7.20
$36.00
File Name:
6
$6.67
$40.00
7
$6.00
$42.00
8
$5.50
$44.00
9
$5.00
$45.00
10
$4.60
$46.00
11
$4.27
$47.00
* Nano Chip only
12*
$4.00
$48.00
NOTE 1: The above Nano chip prices apply if the entire chip is expended for your RNA samples. If other
samples are available to form larger batches then the charges per sample are reduced accordingly. If you
wish for us to wait until other samples arrive before processing your samples, let us know and we will try to
accommodate. Pico chips have only 11 wells available and prices are about 20% higher.
NOTE 2: Samples may be dropped off at Ullmann 713 between 9:00 AM and 5:00 PM M-F. Each sample
must contain between [Nano chip:10ng/ul and 500ng/ul] [Pico chip: 500pg/ul and 5ng/ul] of Total RNA,
aRNA or mRNA suspended in approx. 5ul of water, into a 0.5ml or 1.5ml tube. Label each tube clearly.
Results in the form of a PDF file are usually available on the same day if dropped off in the morning, unless
you select to batch your samples with others.
6/14/05