Microarray Sample Submission Form
Project number (filled by FMSC)
Project title (with one sentence)
Project Description
CONTACT INFORMATION
Contact person(s)
 Name(s)
 Email(s)
 Address
 Phone
Group leader/Principal investigator
 Name
 Email
 Address
 Phone
Biocity Turku Research Programme
(must be filled by Biocity Turku groups)
INVOICING INFORMATION
Internal invoice
(University of Turku account)
 Name
 Department/Laboratory
 Cost pool (kustannuspaikka)
 TY project code: 26xxxxx
External invoice
(other than University of Turku account)
 Institution
 Department/Laboratory
 Address
 Cost pool (kustannuspaikka), if
applicable
 VAT number
PROJECT OPENING MEETING


Date
Participants (FMSC + customer)
Microarray Sample Submission Form 9-2014
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MICROARRAY PLATFORM INFORMATION
Array type
HumanHT-12 v4 Expression BeadChip
Illumina
Affymetrix
Agilent
MouseWG-6 v2 Expression BeadChip
MouseRef-8 v2 Expression BeadChip
Human Genome U219 array plate
Mouse MG-430 PM array plate
Human/Mouse/Rat Gene 2.1 ST array plate
Other, what:
8x60K array, organism:
8x15K array, organism:
4x44K array, organism:
Other, what:
You can find more information about the array types in our web pages
(http://fmsc.btk.fi). If you have any questions about array content, please contact us.
SAMPLE INFORMATION
Total number of samples
(including biological replicates)
Organism
Sample type
 Tissue, origin
 Cells, origin
 Blood, origin
 Other, what
Sample material
 totalRNA
mRNA


RNA extraction method
DNase treatment method
(We recommend and expect that the
delivered RNA samples are DNase
treated. In other case contact us to discuss
this)
RNA is dissolved in
 RNAse/DNAse free water
(recommended medium is
Other, what:
RNAse/DNAse free water, note that
DEPC-water is not recommended)
Other possible pre-processing done to 
the samples
(please specify all applied protocols)
Microarray Sample Submission Form 9-2014
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SAMPLE LIST
Avoid spaces and any special characters in the sample names. Please use group names
and sample names that will allow an easy interpretation of the name coding during
data analysis. (Add rows if needed.) Also check the prices with FMSC if your total
sample number has changed.
Sample
Sample
name
Sample
group
c, ng/l
A260/A280
Volume, l
Comments
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
GROUP DESCRIPTIONS
Please give a short description of each sample group (add rows if needed). Please note
that if you have changed your original sample setup from the one discussed with our
bioinformaticians, you should contact them (bioinfo@btk.fi) to discuss the changes
before continuing further. This concerns especially those projects where the data
analysis service is used.
Sample group
Num. of biological
Description
replicates
COMPARISON TO A SET OF PREVIOUS OR FUTURE RESULTS
If you are planning to compare these results with a previous set
of results produced using our service, please indicate here the
time when the previous samples were processed
If you are planning to compare these results directly with a
possible future set of samples that will be processed using our
service, please indicate this here and also give us some estimate
when these samples will be processed. (It should be noted that after
longer time the same equipment and protocols may not be available anymore,
complicating the integration between earlier and later data set)
Microarray Sample Submission Form 9-2014
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DATA ANALYSIS SERVICE

I would like to purchase the full bioinformatics data analysis service (please
contact the bioinformatics team for pricing and details bioinfo@btk.fi)

Data will be analyzed through collaboration with the FMSC
bioinformatics group (as agreed previously)

I will analyze the data myself, data will be sent to this e-mail address:
FILL IN DIRECT COMPARISONS BETWEEN GROUPS
if FMSC's bioinformatics team will analyze the data
Use group names given in the sample information table. Remember that all groups do
not necessarily need to be directly compared but the lists of differentially expressed
genes between several independent comparisons (e.g. for different tissues) can also be
compared.
Comparison Group1
0 (example)
WT (wild type group)
Group2
KO (knock-out group)
1
2
3
4
5
6
7
8
9
10
Paired samples
Please indicate clearly (by e.g. sample
naming) the samples that originate from the
same biological individual as this information
is needed in the analysis.
Other information for the bioinformatic
analysis (e.g. other factors linking certain
samples together like handling day etc.)
Microarray Sample Submission Form 9-2014
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SAMPLE AND DATA STORAGE
LEFT OVER MATERIAL DISPOSAL
FMSC will discard the left over sample material after 1 year. We prefer
receiving only the amount of sample needed for the analysis but please
indicate here if you for some reason need to send extra material and wish to
have it returned. In such case please note that the customer has to cover the
possible costs related to the returning of the sample material.
STORING THE RESULT DATA
Analysis results will be sent to the customer electronically and after this the
customer is responsible for storing the result data. FMSC will store
especially the large raw image data files only for a short time. As the extracted
numerical raw data files are delivered for the customer, the original image
files rarely have further use. In case you would also like to receive the raw
image data files, please indicate it here.
COLLABORATION WITH FMSC
This page is to be filled by only those with whom collaboration has previously been
agreed.
Type of collaboration
 Lab
 Bioinformatics
Financing of the project
(What does each group contribute to
material and personnel, given as detailed
as possible, if relevant include payment
schedule)
FMSC members to be included as
coauthors to publication(s)
Other issues
(e.g. Secrecy, place for storage of
samples, time plan for discarding remains
of samples, use of remaining samples for
other purposes than this project)
Microarray Sample Submission Form 9-2014
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Send us this sample submission form both in print with your samples and
electronically as an e-mail attachment to microarrays@btk.fi. We require a signed
copy of this document prior to processing the samples. Please check detailed sample
submission instructions on our website at http://fmsc.btk.fi.
As Principal Investigator on this project, I agree to:
1. Acknowledge the use of the Finnish Microarray and Sequencing Centre's
analysis service in the materials and methods section in any resulting
publications.
2. Send a reprint of each resulting publication to the Finnish Microarray and
Sequencing Centre.
3. Include all involved FMSC members (see previous page) to my resulting
publication(s) (where the analysis results are used) as coauthors if
collaboration has been agreed with them. I will also send the manuscript for
their review prior to submitting to a journal.
_______________________
Date
_______________________
Signature
Microarray Sample Submission Form 9-2014
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