ADENOVIRAL SEED STOCK SUBMISSION FORM Dear Colleague: Thank you very much for your interest in our amplification services. Please complete the form and return with your seed stock. We recommend sending your stock, in dry ice if possible, to: Vector BioLabs, Attn: Ad production 293 Great Valley Parkway Malvern, PA 19355, USA Phone: 484-325-5100 Thank you, and look forward to working on your project. Technical Team, Vector BioLabs, Inc. * * * * *INFORMATION REQUIRED* * * * Your Contact Info: Name:______________________ Institution:___________________ Address: ________________________________________________ Phone:_____________________ Email:_____________________ Vector BioLabs Quote# ___________ (required) Name of the seed stock: ________________________________ Viral construction from (check one): __ AdEasy __ Adeno-X __ Gateway __ Unknown __ Other(specify) __________ Passage from primary stock: Low passage___ High passage ___ Unknown___ Select the Services Needed: _____ Large Scale Amplification, Purification, Titration 1.0L scale amplification, 2x CsCl purification, PFU & VP titration Viral storage buffer: PBS with 10% Glycerol _____ Medium Scale Amplification & Titration 0.25L scale amplification, PFU titration Viral storage buffer: DMEM with 2% BSA & 2.5% Glycerol _____ PFU Viral Titration Only _____ Other : ________________________________________________________________ Other Special Instructions: