SCIBLU Genomics, Affymetrix
Registration Form – RNA analysis
Please read all information at the SCIBLU Genomics webpage before completing and signing this form (4 pages).
1. Project number (filled in by the microarray centre):
2. Contact name:
3. Department:
4. E-mail address:
5. Telephone no:
6. For projects paid by LU-account numbers:
LU Is your group supported by ALF?
(This info is only needed for statistics)
Note: If ALF-money will pay for this study, please register below as a SUS-customer.
LU Ekonomiadministratör, e-mail:
LU Kostnadsställe, 6 digits:
7. For projects paid by a RS-id account numbers/ALF
SUS Organisation no, 10 digits:
SUS Invoice ref:
SUS Invoice address:
8. For external projects; all projects outside LU/SUS
External Organisation no, 10 digits:
External Invoice ref:
External Invoice address:
non-Swedish VAT no:
9: Principal investigator:
10. Number of samples:
11. Species (mouse, rat, human etc):
12. Sample origin (blood, tissue, cells, etc):
13. Array type:
14. Do you consider your material non-contagious/non-hazardous?
15. Expected sample delivery date:
16. Wish bioinformatic evaluation of array data, free of charge Yes/No:
If yes, has your project setup been approved of (mandatory!) by Srinivas Veerla?
17. Wish to compare this project to previous data, Yes/No:
If yes, please contact Srinivas Veerla .
Please continue on next page.
Registration Form_140630_IMR
18. NanoDrop data of diluted total RNA (max 1 month old) submitted:
Wish to buy NanoDrop service:
19. Bioanalyzer data of total RNA (max 1 month old) submitted:
Wish to buy Bioanalyzer service:
20. Wish remaining total RNA back. (It is customer’s responsibility to pick it up within 1 month):
21. Preferred data delivery, FTP or DVD. Select one option:
For LU-customers overhead is not included in the price. For SUS and all other non-LU
customers overhead will be added to the preparation cost.
The customer accepts that the SCIBLU Genomics is in charge of making all necessary
quality judgements throughout the experiment.
Please complete this form (4 pages), sign and return it via e-mail to Ingrid M. Rading when
samples are ready to be delivered.
As a principal investigator on this project, I agree to this order and accept the conditions
stated in this Registration Form and in the SCIBLU Genomics webpage.
Note: I also acknowledge the use of SCIBLU Genomics at Lund University in the
Acknowledgement section in any resulting publication.
Name:
Date:
Registration Form_140630_IMR
Sample Information Sheet
Sample name
(don’t use / : \ )
Sample
type
*RNA
conc.
(ng/l)
RNA
amount
(ng)
RNA
amount
(l)
OD 260/280
(Nano-Drop)
OD 260/230
(NanoDrop)
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*Concentration should be confirmed by NanoDrop after dilution of samples to 50-75 ng/µl.
Contact person: Ingrid M. Rading
Delivery address: Lund University, SCIBLU Genomics, Affymetrx unit, Immunotechnology, (Byggnad 406),
Medicon Village, Byggnad 402A, Schelevägen 8, SE 223 63 Lund
Visiting address: Lund University, SCIBLU Genomics, Affymetrx unit, Medicon Village, Byggnad 406,
Scheelevägen 2, Lund
E-mail: ingrid.Magnusson-rading@immun.lth.se
Phone: +46 46 222 1542
Registration Form_140630_IMR
URL: www.lu.se/sciblu
Analysis request
The following information is requested in order for SCIBLU Genomics to be able to process and analyse your
data. We offer one bioinformatic analysis of array data as a service free of charge. In addition we offer free
consultancy (telephone and e-mail) for two weeks after delivery of data. As our time and resources are strictly
limited and large projects require more time, the analysis will be more basic for these. All additional analyses and
support will be charged according to our standard consultancy fee and only given if time permits. For more
information, see Bioinformatics.
Note: Please note that no comparison analysis of each chip will be provided unless otherwise is detailed below at
the time of sample delivery. Comparisons to older analysis are only done as an extra service and will be charged
accordingly.
TABLE 1
*Samples names included in group
*Group
number
1
2
3
4
5
6
7
8
9
10
*Group name (as above)
*Group name
*Compare to
group number
*Treatment (describe the biological treatment)
Tick boxes for the analysis you want. When multiple options are given, please select by ticking relevant boxes.
Information about different options is given on SCIBLU Genomics’ web page.
Data:
Raw data
Normalization (
Group comparison:
t-test/Anova OR
Annotations:
GO
RMA)
SAM (Significance Analysis of Microarrays)
Public accession numbers
Protein annotations
* What is the purity of your sample? (any contaminating cell types or tissues)
% is estimated to be of interest.
* Are your samples pooled? Y
N
Why was pooling done?
* How many biological units make up one pool?
* What is the sample origin? Cell culture / primary cell / other
_________________________________________________________________________
(*) These options are not included in our standard offering
Registration Form_140630_IMR