Service Request

Project Title

Abstract

Please give a brief description of the project.

Principal Investigator

Contact Person

Contact Phone

Contact Email

Please provide a valid MFK:

Do you require Tissue Procurement Core services (e.g. blood collection, serum collection, isolation of PBMCs, etc.)

Yes

Please note that blood/tissue procurement and processing is performed by the Tissue Procurement Core. A joint meeting with the TPC is required before sample collection can begin.

Do you require consultation on choosing an assay or panel?

Yes

List of samples

If available, please provide a list of de-identified sample IDs and the sample type (e.g. PBMC, tumor, serum). Also include cell number if known.

One file only.
50 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, avi, mov, mp3, ogg, wav, bz2, gz, sit, svg, tar, zip.

Is this for a grant application?

Yes

Other…

Please provide the deadline for the grant submission.