Client Area > Sample Submission

Samples Submission

Please fill out this document with appropriate information and submit.
Fields marked with * must be filled.
You will receive an email with the submitted information.
Print a copy and include it with the sample shipment.


Project
Project ID *
Date
Quote reference *
Technical questions
Molecular procedure / technology *
Number of samples *
Sample description *
gDNA total RNA
mRNA cDNA
PCR Product Whole blood
Saliva Paraffin-embbeded tissues
Other:
Source (species, tissue, cell line, soil…) *
Isolation method
Sample buffer
Quantification method
Have samples been purified or concentrated?
Yes No
If yes, method used
Remarks
Sample information (PDF/Word) *
Download the model, fill it in and submit it.
SNP information (PDF/Word)
Download the model, fill it in and submit it.
Identification
Address *
Billing address (if aplicable)
Vat number *
Observations
Message
Email *
Verification code *
Captcha Code

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