COVID-19 Pseudovirus Service: Quote Request Form

Name*

First Name* Last Name*

Institution:*

Country:*

E-mail:*

Phone Number:*

What is your sample type? (More info):*

What is your sample type?:*

If other, please specify:

Number of unique samples:*

Number of dilutions per sample (More info):*

Number of dilutions per sample:*

List dilutions (More info):*

List dilutions:*

In which order do you want your sample added?*

Add sample to pseudovirus first, then add that mixture to cells

Add sample to cells first, then add the pseudovirus

Number of technical replicates (More info):*

Number of technical replicates:*

Choose cell line that is expressing ACE2:*

Human A549

Monkey Vero

Do you want to include a cell line that is not expressing ACE2 as a negative control? (additional fees apply)*

Yes

No

If so, choose cell line that is not expressing ACE2:

Do you need expedited service? (additional fees apply)*

Yes

No

Do you need your sample(s) shipped back to you?*

Yes

No

If so, will dry ice be required for shipping?

Additional comments:*

Email

This field is for validation purposes and should be left unchanged.