Location: / D2 Richards Building / Mailing Address:
Tel: / 215/898-5762 / B1 Richards Building
Fax: / 215/573-9327 / 3700 Hamilton Walk
Website: / Type into Google: Penn Gene Targeting Service / Philadelphia, PA 19104-6085
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REQUEST FOR GENOMIC SOUTHERN AND/OR GENOMIC PCR
Billing contact person______Billing Tel:______
26 Digit Penn Charge Account number ______
PO number (outside orders only) ______
Principal Investigator: ______
Date:______Tel: ______
Project Contact person: ______Tel: ______
E-mail: ______Fax: ______
For detailed discussion of ES cell services and gene targeting strategies contact Tobias D. Raabe, Ph.D. Tel.:215-898-2795; e-mail:
Please indicate below what service you want:
Name of ES cell lines Cytogenetics Expansion (with injection date):
1.
2.
3.
4.
Please note that expansion for blastocyst injection can only proceed if a injection date has been set first. To do that please contact Dr. Jeam Richa at 215-898-2795
Digital images of analyzed metaphases are available upon request