Gene Synthesis Order Form Client Invoice Department Your order #: Name of sender: Administrator: Institute / Company: Invoice department: Department: Invoice address: Shipment address: Zip/City: Zip/City: Country: Country: e-mail address: e-mail address: Phone number: Phone number: VAT #: Fax number: Other contact person: e-mail address: Quotation #: Year contract #: Gene synthesis projects include design, synthesis, and assembly of oligonucleotides in a standard cloning vector (usually pUC57 or pBluescript). Final constructs are verified by doublestranded sequencing. Please send us the relevant sequence information in digital format on disk or by email to synth@baseclear.com. We also offer codon optimization for any organism free of charge. Also, we can perform subcloning of synthetic genes to custom vectors, please ask us for a quote. BaseClear will only use organisms and synthetic DNA that is classified under our GMO license. For that reason we require basic sequence information to perform a risk analysis: donor organism, pathogenicity class, gene name, and gene function (if known). See also http://www.vrom.nl/ggo-vergunningverlening Baseclear is entitled to check the sequence for contents, confidentiality guaranteed and can reject any sequence that is not classified under our GMO license. TERMS OF DELIVERY Synthetic genes will be delivered as purified plasmid. The client will be informed of the project’s progress at different stages and will receive a complete report including doublestranded sequence verification, contig sequence files with chromatograms and a vector map. Standard delivery time is 2 to 3 weeks for constructs of 1 kb or less in size; 3 to 4 weeks for constructs between 1 and 3 kb in size; and 4-5 weeks for constructs of > 3 kb in size. Turnaround time is dependent on the requested sequence. BaseClear guarantees the complete confidentiality of all client information, project data and biological samples during or after the termination of the contract. Please see our website (www.baseclear.com) for more information. I accept the general terms and conditions of BaseClear* Name : ______________________ Signature : ______________________ Date :__ / __/ ____ To be filled out by BaseClear: Project Code : __________________ Date of registration : _ _ / _ _ / _ _ _ _ *Our General Terms and Conditions apply to all projects BaseClear carries out and can be downloaded from our website (www.baseclear.com/labservices/terms_conditions). Version: 2013-01 F089-SYNTH-04 Page 1 of 2 Gene Synthesis No. Name Fragment Path. Donor organism length Class (bp) (BSL-I /II/III /IV) Sample sheet Codon optimization required (Y/N)? Expression organism (in case of codon optimization) 1. 2. 3. 4. 5. 6. 7. 7. 8. 9. 9. 10. Total number of requested basepairs : Version: 2013-01 F089-SYNTH-04 Page 2 of 2 Subcloning to custom vector required (Y/N)? Acceptor vector Restriction sites for subcloning