Transgeic Generation Request

Please enter the appropriate information on this form sa that we can take care of your request as soon as possible.

Name: ________________________ Principal Investigator: ________________

Contact Number and E-mail: _________________________________________

Sample Name: _______________________ Fragment Size: ______________

Sample Concentration: _________________

Are these going to be for stable lines? _____

If not, what embryonic time point? ________

Do you expect potential lethality? ________

Gel pic must include your purified sample, cut fragment before purification, and a DNA size marker

Do you have any special requests?

Bring your sample along with this form to 5046 Malott. The well-labeled tube of DNA should be left in the freezer in the rack labeled "injection DNA" and the request form should be left on my deskl.