DNA SEQUENCING SUBMISSION FORM

Core Molecular Biology Facility, York University		Mailing Address:
		Mrs. Lee Wong York University 4700 Keele Street Rm 135 Farquharson Building Toronto Ontario M3J 1P3
Dr. Ron Pearlman Mrs. Lee Wong	(416)736-5241 (416)736-2100 Ext. 70121 Email: corfac@yorku.ca Website: http://www.yorku.ca/biocore/

Principal Investigator

Phone

Fax

P.O. Number

Attention

E-Mail Address

Date

DNA Sample:

Resuspend DNA in water or TE buffer. A picture of the DNA will be useful especially for PCR product. 1 ug of plasmid DNA (minimum of 0.15 ug/ul). 50 ng PCR product in a maximum volume of 10 ul. 4 pm of primer / reaction

Sample Name

Vector used

Concentration
of DNA (ug/ul)

Primer for
Sequencing

Primer
Concentration

BILLING AND SHIPPING
Billing Address	Chromatograms Shipping Address (Circle one, if required)
	Chromatagram Files via Email Email Address:__________________________________________

Notes: