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Service Form
Array & ELISA
Auto Western
Flow Cytometry
This service form is for the RayBiotech Auto-Western Service.
Auto-Western Service Form
1
Basic Info
2
Service Info
3
Sample Info
4
Antibody Info
5
Special Request (Optional)
Contact Name
*
Email Address
*
Phone Number
*
University/Institution Name
*
Submission Date
*
Billing Contact Name
?
Billing Phone Number
?
Payment
*
Credit Card
Purchase Order (PO)
Wire Transfer
Check
Please email the PO to orders@raybiotech.com
Distributor Name
?
Quote Number
*
Number of Samples
*
Number of Antibodies Provided
*
Lysis Buffer Composition
*
Do any samples contain viruses?
*
Yes
No
Suggested Dilution
*
Yes
No
Sample Storage
*
Discard samples
Store samples (additional fees may apply)
Send samples back
?
FedEx Account #
?
Additional information
?
Additional File:
Do not upload POs here, email them to orders@raybiotech.com
Upload sample list:
Excel Template Download
Sample Info
#
Sample ID
Sample Type
Sample Species
Sample Volume
Suggested Dilution
Protein Concentration Or Determined By RayBiotech
Toxic/Infectious materials?
Indicate sample groups
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Antibody Info
#
Antibody ID
If antibody is from
RayBiotech Auto-Western Library
, list the
Antigen & Species
If antibody is NOT from
Auto-Western Library
, list the
Company and Catalog number
If antibody is NOT from
Auto-Western Library
or RayBiotech catalog,
who is purchasing antibody?
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Special Request
#
Antibody ID
Antibody Dilution (if known)
Loaded Protein
Protein company/catalog Number
Dilution or concentration of protein
Any additional info/special instructions
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