RT-QPCR Project Form Project number (filled by FMSC) Project title (with one sentence) Project Description CONTACT INFORMATION Contact person(s) o Name(s) o Email(s) o Address o Phone Group leader/Principal investigator o Name o Email o Address o Phone Biocity Turku Research Programme (must be filled by Biocity Turku groups) INVOICING INFORMATION Internal invoice (University of Turku account) o Name o Department/laboratory o Cost pool (kustannuspaikka) o TY project code: 26xxxxx External invoice (other than University of Turku account) o Institution o Department/Laboratory o Address o Cost pool (kustannuspaikka), if applicable o VAT number PROJECT OPENING MEETING Date Participants (FMSC + customer) ___________________________________________________________________ Contact: Turku Centre for Biotechnology Tel. +358 2 333 8025 Oso Rissanen/ Tykistökatu 6B e-mail: taqman@btk.fi Miina Nurmi 20520 Turku, FINLAND REQUESTED SERVICE(S) Primer and probe design (Please note that 10% of assays may have difficulties due to the sequence) Gene expression runs RNA isolation DNase treatment cDNA synthesis Other (please specify) SAMPLE INFORMATION Total number of samples (including biological replicates) Organism Sample type Tissue, origin Cells, origin Blood, origin Other, what Sample material totalRNA mRNA other 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) ___________________________________________________________________ Contact: Turku Centre for Biotechnology Tel. +358 2 333 8025 Oso Rissanen/ Tykistökatu 6B e-mail: taqman@btk.fi Miina Nurmi 20520 Turku, FINLAND Sample list Avoid spaces and any special characters in the sample names. (Add rows if needed.) Sample Sample name c, ng/l A260/A280 Volume, l Comments 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 ___________________________________________________________________ Contact: Turku Centre for Biotechnology Tel. +358 2 333 8025 Oso Rissanen/ Tykistökatu 6B e-mail: taqman@btk.fi Miina Nurmi 20520 Turku, FINLAND Gene information (add rows if needed) If you bring us your own primers and probes, please, mark the concentrations on the tubes and in the list! Gene name: Accession number of the sequence (if you need primer/probe design) or associated probe library probe number: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Housekeeping gene(-s) Please indicate which of the above genes are used as control genes: ___________________________________________________________________ Contact: Turku Centre for Biotechnology Tel. +358 2 333 8025 Oso Rissanen/ Tykistökatu 6B e-mail: taqman@btk.fi Miina Nurmi 20520 Turku, FINLAND Results In which format would you like to have your data? excel file .txt file .eds file COMPARISON TO A SET OF PREVIOUS 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. COMPARISON TO A SET OF FUTURE RESULTS 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. 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 wish to have extra material returned. In such case please note that the customer has to cover the possible costs related to the returning of the sample material. Please, send us the form both in print with your samples and electronically as an email attachment. We require a signed copy of this document prior to processing the samples. Please check detailed sample requirements and 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 ___________________________________________________________________ Contact: Turku Centre for Biotechnology Tel. +358 2 333 8025 Oso Rissanen/ Tykistökatu 6B e-mail: taqman@btk.fi Miina Nurmi 20520 Turku, FINLAND