UNMC Eppley Molecular Biology Core Lab
Room 6004 Eppley Institute, 6805 Ph. 559-6015/ Fax 559-4651

DNA Synthesis Request Form

Investigator* (Last Name First)   Cost Center# / P.O*
Department* E-mail:*
Contact Person * Phone*
Shipping addr.
(if outside of campus)		    
* Required Fields
Sequence: Please add one sequence at a time and use capital letters! No space or returns!   Oligo Name:

A=Adenosine R=A or G B=C,G,or T S=G or C
C=Cytidine Y=C or T D=A,G, or T W=A or T
G=Guanosine K=G or T H=A,C, or T N=A,G,C,T
T=Thymidine M=A or C V=A,C, or G  
  Chemistry:
Scale:
Purification:
Cost/Base Set Up Purification Total
Total Estimated Cost
Comments         Estimated price may not include specialties!
 
Sequences*
 
    Prices
 Dual Labeled Probe Prices

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