CCG Microarray Quote Request Form

Please fill out this form each time you request a new service from the CCG.


Submitter Name:
PI Name:
Phone:
Email:
Affiliation & Address:

Organism Information

Classification:  Prokaryote Eukaryote
Taxonomical Name:
Number of Samples to Process:

Array Design

Catalogue Design
Custom Design from a Previous Roche NimbleGen Order
Custom Design

Type of Array

Application: Gene Expression CGH ChIP-chip DNA Methylation CGS Sequence Capture
Format: 2.1M 3x720K 12x135K 385K 4x72K
Number of Arrays to Process:

Services Requested

cDNA Synthesis
Sample Labelling
Hybridization and Washing
Array Scanning
Image Data Extraction with Nimblescan v.6 Software
454 Library Preparation

Additional Notes Relevant to the Project