University Hospital of Zurich
		
Department of Pathology

Advanced Gene Targeting
Facility

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

IKMC ES Cell Expansion Request Form
General User Information
First name	     				Name	     
Telephone	     				E-Mail	     
Institute	     

Targeting Information
Genetic background of cell line		other	     
Name of the ES cell line		     
Target locus (name & symbol)	     
Vector name				     
Name & symbol of targeted locus	     
Positive selection				other	     
Clone Name				     
Providing institution			     

Please email the following information to the AGTF:
Sequence of clone		Sequence of locus	 	vector sequence/map		

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 ES cell expansion is CHFo1200,- and includes freezing of 8 tubes, three of which are usually passed to the researcher for storage. In addition, three cell pellets for DNA preparation will be supplied.