YCC/HHMI Biopolymer/Keck Foundation Biotechnology Resource Laboratory at Yale University

DNA Microarray Submission Form

Name:

Date:

Department:

P.I.:

Yale Cancer Center Member? (Circle one):    YES         NO

Telephone:

Institution:

FAX:

Shipping Address (Required):

 

(City, State, Zip):

Billing Address (Required):

 

(City, State, Zip):

Email:

Charge No: Purchase Order No

 

(If HHMI enter HHMI and HHMI cost center number, otherwise enter Yale PATEO number)

Description of Samples

 
Slide type
Number of slides
Slide ID #'s (Facility completes)
cDNA Arrays

 

 
Human 4.6K: HU4.6K

 

 
Mouse Endocrine Pancreas Consortium 3.4K: MEPC3.4K

 

 
 Mouse 4.6K: MM4.6K

 

 

Mouse NIA 15K : NIA15K

    
Arabidopsis 9.2K: AR9.2K

 

 
 Arabidopsis 12K: AR12K

 

 
Oligo Arrays

 

 
Operon Human 70mer: OHU16K

 

 
Operon Human 70mer: OHU21K

 

 

Operon Mouse 70mer: OMM13K

    

Operon Mouse 70mer: OMM16K

    

Operon Arabidopsis 70mer: OAR27K

    

Compugen Rat 65mer: ORR4.8K

    
Services Requested (check all services required for each sample)

 
Custom arraying of cDNA, oligos, PCR products

 

 
aa-dUTP: Cy-3/Cy-5 labelling

 

 
Hybridization

 

 
Slide imaging (.tiff file) only

 

 

Bioanalyser - RNA quality

    

Spectrophotometer - Probe quality

    
Cy-3/Cy-5 QuantArray/Axon GenePix scatterplot analysis and text file

 

 
Extended analysis

 

 
PLEASE FAX this sheet to 203-785-5259

For further information and to discuss details of custom projects please contact Janet Hager, Lesa Clarke, Irina Tikhanova, Reema Gulati, by e-mail or phone 785-5111, 785-7945, or visit the Microarray Facility in WWW-5

For Credit Card charging instructions please see http://info.med.yale.edu/wmkeck/creditcard.htm Questions should be addressed to Kim Jones, Phone (203) 785-6589 or FAX (203) 785-2096.