WHCOHH Genomics Core Facility Request Form

Please fill in the fields below as completely as possible.

Name
Email address
Telephone
Institution
Laboratory PI
Mailing address
PLT Filename(s) (send separately)
Sample Submission Date
Number of Samples
Plate format: 96 or 384 96
384
Host strain
Vector
Antibiotic
Primer1
Primer2
Single or bi-directional sequencing Single
Bi-directional
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.