Order Form for DNA sequencing services from Northwoods DNA, Inc.
Mail your well-padded samples to: 1-800-606-2248
Northwoods DNA, Inc. www.nwdna.com
44526 County Road 3
Solway, MN 56678. (Orders require a P.O.# or a credit card number.)
Date:_____________
| Services ordered by: |
Bill to: |
Email address: |
Email address: |
Organization: |
Organization: |
Street: |
Street: |
City/State/Zip: |
City/State/Zip: |
Phone: |
Phone: |
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Purchase Order: |
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Or MC,Visa,AmEx#: |
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Expiration Date: |
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Signature: |
Service requested:
Standard sequencing ($6.00/run)____
96-well plate ($4.50/run)____
Ready-to-run tubes ($3.00/run)____
Ready-to-run plates ($2.00/run)____
Genotyping/Fragment Analysis ($8.50/run)____
Primer walking ($0.10/base pair)____
Double-stranded primer walking ($0.15/base pair)____
PCR Gel Purification required? ____Yes ($6.00/sample) ____Yes, 48+ ($3.00/sample) ____No
PCR Column Purification required? ____Yes ($2.50/sample) ____Yes, 48+ ($1.50/sample) ____No
Template Type (plasmid, PCR product, etc.): _________________________
Sequence Name
(your initials and sample #) |
Primer:
____Northwoods adds
____Customer added |
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Sequence Name
(your initials and sample #) |
Primer:
____Northwoods adds
____Customer added |
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Additional Information:
Sequence Name
(your initials and sample #) |
Primer:
_____Northwoods adds
_____Customer added |
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Sequence Name
(your initials and sample #) |
Primer:
_____Northwoods adds
_____Customer added |
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