TEMPLATE SHEET FOR PF2D

User name (format like John Smith or Dr. Jane Adams):
Email address:
Lab:
Account or SUR #:
Phone #:
Original biological source:
Do the samples potentially contain human pathogens?	Yes No
Other special instructions?

 

 PLEASE FILL OUT THE FOLLOWING

Sample #	Sample Name	Protein Amount/Concentration	How sample is submitted (lypholized, in buffer, etc)	Description of how the sample was collected and treated
01
02
03
04
05
06
07
08
09
10

When you are finished, press the "Save Order" button only ONCE. The form may take a moment to process. (clicking more than once may cause order duplication.)