PYROSEQUENCING SAMPLE INFORMATION FORM Albert Einstein College of Medicine 713 Ullmann, x2657 GENOTYPE@AECOM.YU.EDU Director: David Reynolds DREYNOLD@AECOM.YU.EDU www.aecom.yu.edu/dna Investigator information Please provide 10l of PCR product in 0.2 ml strip tubes or 96well plates with sequencing primer in a separate tube (0.5l of 10M primer per reaction.) See website for PCR conditions. Principle Investigator Department Date Submitted This form should be dropped off with samples at Ullmann 713 and an electronic sample form should be submitted through the reststop folder: \\reststop\public\genotype A blank e-sample form is available at www.aecom.yu.edu/dna Contact Person Telephone Number E-Mail Address Rm/Bldg Address Grant # Sample submission 9 - 526 - - 431 Sequence of PCR product and assay design output from pyrosequencing website should also be submitted to the reststop folder for each new assay. QUANTIFICATION: You must check your PCR product on a gel to ensure a clear, strong band without haze or artifact. PYROSEQUENCING RESULTS: The facility provides a Word file. Notification will be sent by e-mail and results will be available on reststop. Indicate Folder:________________________________________ Special Request: ___________________________________ For primer design website go to http://techsupport.pyrosequencing.com Register using serial # 60-0110-000111 and software # 50-0176 to obtain customer and user ID. Please visit our website for help with assay design. Sample information: Number of Samples:_______________________ Number of sequencing primers:___________ Sample Name Assay Sequencing Primer Submissions of greater than 10 samples should include an electronic sample list as described above. Comments: Facility Input