Template Prep Request Form

NOTE: Prices have increased by 25% as of April, 2012 (first increase since 2008).


Please fill in the fields below as completely as possible.

Name
Email address
Telephone
Institution
Laboratory PI
Cost Center or MBL Account
Mailing address
Sample Submission Date
Number of Samples
Elution volume 60 ul (1/8th BDT)
90 ul (1/16th BDT)
Date needed (mmddyy)
Other information or instructions:

Please e-mail sequencer@mbl.edu if you have any problems with this form.