| 1. Antibody(Ab) information | |||||
|
Name of Ab: ______________
Generated from: __ mouse __ rabbitt __ others: _____________________ 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: ______________________ | ||||
|
5. Additional photos ___ sets, Presentation slides ___ sets,
Rush service: __ Yes __ No | |||||
|
6. Where did you hear SeeDNA? (Please check all which apply)
__ letter from SeeDNA __ collaborators or colleagues __ 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: ________________ | |||||
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