DNA Sequencing Order Form
Full Name:
Company / Institute:
Department:
Position:
Address:
Phone no:
Fax no:
E-mail:
Sample name
Sample type
Concentration
[ng/µl]
Length
Size to be Sequenced
[ bp ]
Vector
Purification
Primer selection
Primer name
Primer con.
[ pmol/µl ]
1
Select PCR Product Plasmid DNA BLOOD CVS
Select needed done
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Primers to be synthesized by Kawsar biotech company: Select Yes No
If yes please fill in the table:
Comments:
