DNA Sequencing Core
University of Michigan
Affymetrix Full Service Sample Submission Form: Genotyping
Date:
Principal Investigator: ____________________
Sequencing Core PI login:____________________
E-mail:______________@_________________
Lab Contact:____________________________
E-mail:______________@_________________
Phone:____________________________________
Service*
I.
a.
b.
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.
c.
d.
Affymetrix Arrays
Human Genome SNP 6.0 (1 array)
Axiom Biobank Arrays (96 arrays)†
Other: _______________________
User Supplied:_________________
II.
Cost
Quantity
Subtotal
$334.00
$ 33.00
_______
_______
_______
_______
$ 300.00
$ 9600.00
$
$N/A
Total
_______
_______
_______
_______
_______
_______
_______
_______
*Please complete both sections as best as possible.
†Please note that Axiom submissions must be in an AB-gene 96 Square Well Storage Plate (Catalogue Number: AB-0932)
from Thermo Scientific. Transferring samples to the correct plate is available for a fee.
More arrays are available than listed above; please consult the Affymetrix website (http://www.affymetrix.com)
and/or the Microarray Core website (http://www.umich.edu/~caparray/products/genotyping/).
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 arrays 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.
Project Name:______________________________________________________________________
Billing Department____________________________________ UM Short Code:|__|__|__|__|__|__|
Print Principal Investigator Name: ______________________________________________________
Principal Investigator Signature:_____________________________ Date:____________________
2/16/2016
University of Michigan
MicroArray Core
Total DNA Sample Submission Form
Please attach a plate map (see sample below) to this document and a list of samples submitted as an Excel spreadsheet
via email. Thank you.
Well
1
2
3
4
5
6
7
8
9
10
A
B
C
D
E
F
G
H
DLA0927
DLA0929
DLA0930
DLA0935
DLA0941
DLA0945
DLA0949
DLA0951
DLA0953
DLA0957
DLA0958
DLA0959
DLA0963
DLA0966
DLA0968
DLA0969
DLA0974
DLA0976
DLA0977
DLA0979
DLA0981
DLA0984
DLA0986
DLA0989
DLA0990
DLA0992
DLA0995
DLA0996
DLA1001
DLA1003
DLA1007
DLA1008
DLA1012
DLA1014
DLA1016
DLA1022
DLA1023
DLA1026
DLA1029
DLA1030
DLA1031
DLA1032
DLA1035
DLA1042
DLA1046
DLA1048
DLA1052
DLA1054
DLA1056
DLA1057
DLA1059
DLA1060
DLA1062
DLA1063
DLA1065
DLA1068
DLA1070
DLA1072
DLA1075
DLA1076
DLA1078
DLA1082
DLA1088
DLA1089
DLA1091
DLA1092
DLA1095
DLA1097
DLA1098
DLA1101
DLA1104
DLA1105
DLA1188
DLA1190
DLA1195
DLA1196
DLA1197
DLA1198
DLA1106
DLA1107
11
Control
01
DLA1199
DLA1200
DLA1201
DLA1202
DLA1205
DLA1109
DLA1113
12
Control
02
DLA1207
DLA1208
DLA1209
DLA1211
DLA1212
DLA1115
DLA1120
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. I 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.
2/16/2016