Dr. Thorsten Buch
Inst. of Experimental Immunology
Division of Neuroimmunology
Y-44-J38
Winterthurer Strasse 190
CH-8057 Zürich
Switzerland	Phone: +41-44-635-3709
Fax: +41-44-635-6883
thorsten.buch@neuroimm.unizh.ch
www.neuroimmunology.uzh.ch

DNA Preparation Request Form

General User Information
First name	     				Name	     
Telephone	     				E-Mail	     
Institute	     

Targeting Information
Target locus (name & symbol)	     
Vector name				     
Name & symbol of targeted locus	     
How many clones to be prepared?	

Bill Recipient
First name	     				Name	     
Telephone	     				E-Mail	     
Institute	     				Street	     
Postal Code	     				City	     

Please send this form by email to thorsten.buch@neuroimm.uzh.ch!

Important
We normally try to process your requests as soon as they arrive. In case of a backlog of requests, the date of DNA receipt and the number of requests submitted by individual groups will determine the sequence in which the projects are carried out. The cost of each prepared 96-well plate is  CHFo300,-.