Custom Stable Cell Line Service Quote Request Form

Contact Information

Name*

First Name* Last Name*

Institution:*

Country:*

E-mail:*

Phone Number:*

Service Information

Which phases of our service do you need? (Check all that apply)*

Gene synthesis

Gene cloning

Retroviral Packaging

Stable cell line generation

Cell culture & treatment

Materials to be provided by:*

If you will be providing materials, please describe them:

If using the "Gene Synthesis" phase, the following information is REQUIRED:

Gene size (number of nucleic acids):

UniProt ID:

Gene sequence:

If using the "Retroviral Packaging" phase, select the appropriate box:

If using the "Stable cell line generation" phase, which cell lines do you want to use?

If using the "Cell culture & treatment" phase, describe what you need. Please include number of biological replicates, treatments, and drug concentrations, if applicable.

Additional comments:

Name

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Custom Stable Cell Line Service Quote Request Form