UNMC

Custom DNA Cloning Service Request Form

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C.B. Gurumurthy, Ph.D.
Mouse Genome Engineering Core Director
402-559-3338
Email

All fields are required.

Lab Information

Principal Investigator: 

Department/Institution: 

PI Email:

Contact Person:

Contact E-mail:

Contact Phone:

Person/Dept Billing should be directed:

Cost/Center Number:

Intended use of the construct:

Construct Information

    Plasmids Supplied by PI
Name of vector (and promoter): Yes No
Name of insert (NCBI accession number): Yes No
Fusion tags: N terminal  
C terminal

Type the text from the image into the space below.

Form last updated 03/23/18

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