Transgenic Research Center In the Cancer Center

Service Requisition Form

DNA Microinjection for Transgenic Mice

 

Which service?


Contact Data:

 

Date: Name:
Dept: PI:
Tel:    
Fax:    
E-mail:    
Lab location    

 

Billing Account Information:

Project#  (eg, 1234567)
Task# (eg, 100)
Award (rg, ACAEH)

NCI Funded? 
Name of person who has authorization to the account: 

Is it okay if we include your mice in our mouse database?  

A-PLAC protocol #:  
Animal Housing Location:   
Construct Name (12 character limit):   

 

Length  kb Concentration  ng/ul
Volume  ul Purification method (CsCl, Qiagen,or others) 

 

Project and DNA Construct Description (attach restriction map):

 

Special Requirements (including special requirements for strian background):

 

Stanford Medicine Resources:

Footer Links: