GENERAL STORES CUSTOM PRIMERS ORDER FORM

Directions: You may enter up to six sequences on this order form. If you need to order more than six, simply submit an additional order(s). When you have completed an order, scroll to the end of this form and click on the "Submit Order" button.

Go to End of Form
Researcher Name:  
Name of Person Ordering:  
Telephone Number:
Department :          
Project ID:  
Place order with this vendor:
SEQUENCE  1
Primer Name:
Sequence:
 Scale of Synthesis:

Purity:

Modification:
Go to End of Form
SEQUENCE  2
Primer Name:
Sequence:
 Scale of Synthesis:

Purity:

Modification:
Go to End of Form
SEQUENCE 3
Primer Name:
Sequence:
 Scale of Synthesis:

Purity:

Modification:
Go to End of Form
SEQUENCE  4
Primer Name:
Sequence:
 Scale of Synthesis:

Purity:

Modification:
Go to End of Form
SEQUENCE  5
Primer Name:
Sequence:
 Scale of Synthesis:

Purity:

Modification:
Go to End of Form
SEQUENCE  6
Primer Name:
Sequence:
 Scale of Synthesis:

Purity:

Modification:

Please Note: If you need to order more sequences, complete an additional order(s) after you submit this order form. Multiple orders should be combined when you prepare your Lynx Requisition. For example, if you need to order 12 sequences, you will complete and submit two of these order forms, but you will complete only one Lynx Requisition.

Special Instructions (if any):
 To Top of Form

Will you be sending another custom primers order(s) today?
Yes   No