Template Prep Request Form

Please fill in the fields below as completely as possible.

Name
Email address
Telephone
Institution
Laboratory PI
Cost Center or MBL Account
Mailing address
Sample Submission Date
Number of Samples
Elution volume 60 ul (1/8th BDT)
90 ul (1/16th BDT)
Date needed (mmddyy)
Other information or instructions:

Please e-mail Kasia at sequencer@mbl.edu or call 508-289-7215 if you have any problems with this form.