SeeDNA Biotech Inc.
Antibody Detection Order Form

1. Antibody(Ab) information
Names of Ab:
Generated from: mouse    rabbit
other:
Type of Ab: polyclonal monoclonal 		Concentration/Dilution of Ab::
Dilution used in Western blot:
Suggested dilution for immunostaining::
2. Requisition
Detection in:  human cell    mouse cell    specific cell line
Detection for: Cellular localization, Nuclear/chromosomal localization,
                      Localization on mouse meiotic chromosome,
                      Specific request:
Catalog number: 
3. Customer information
Contact:                        E-mail:
Principle Investigator: E-mail:
Tel (important):     Fax:   
Shipping address (including department/institute/company):
4. Billing Information:
Contact:   
Department:
P. O. # :    		Tel:
Fax:
E-mail:
Billing address (if different from shipping address):

5. Additional photo: sets      Presentation slide: sets
   Rush service:     Yes           No
6. Where did you hear SeeDNA? (Please check all which apply)
letter from SeeDNA collaborator or colleague advertisement searching internet
from SeeDNA's distributors other:
7. Please read the terms of "Service Agreement" before you sign this order form.

    Your signature:__________________________   Date: _______________
Please send the completed form to:
Customer Service,SeeDNA Biotech Inc., 443 Ouellette Avenue, Suite 100, Windsor, Ontario, Canada N9A 4J2
Tel: (519) 252-8669 , Fax: (519) 252-2915 E-mail: URL: http://www.seedna.com
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