The Biopolymer Laboratory
Department of Microbiology/Immunology
Phone 410-706-8553  Fax 410-706-0287
E-mail:  biopolym@umaryland.edu

Biopolymer-Lab Sequence No.                            

DNA SEQUENCING ORDER FORM

Principal Investigator:                                                                   Date:                         
Department and School:                                                                                                   
E-Mail Address:                                                                                                                 
Name of Requestor: (if other than P.I.)                                                                          
Phone:                             Account to be charged:                                                            
Signature of P.I. or authorized person:                                                                          

** TEMPLATES BUST BE AT 0.2µg/µl IN WATER **
*** PRIMERS (IF SUBMITTED) MUST BE 1µM ***