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 PCR Array Service Quote Request (We will get back to you in 2 business days)
 Contact Information:
First Name and Last Name:  *
PI Name:
Company/Institution:  *
Department:
Street Address:  *
City, State/Province,
and Zip Code/Postal Code:
 *
Country:
Phone:  *
Email:  *
Re-type Email:  *
 Description of Service Desired:
 Please select from the following two type of services:
  Pathway-EZ™ PCR Array Service   Custom-EZ™PCR Array Service
 If you chose Pathway-EZ™ PCR Array Service, please provide the following information:
Title of the PCR Array:
Species: Mouse   Rat   Human
Number of samples to be analyzed:  
 If you chose Custom-EZ™PCR Array Service, please provide the following information:
Species: Mouse   Rat   Human
Total Number of genes
that you want to analyze:
 
 List of genes that you want to analyze. Please provide either the official gene symbol (such as GAPDH) or NCBI  RefSeq ID (such as NM_001234) for each gene: 
   
Number of samples to be analyzed:  
 Our scientist would be happy to work with you for designing your Custom-EZ™PCR Array
 Additional information:
 Would you like EZ Biosystems to perform sample preparation, such as isolating RNA from tissue samples?
  yes  NO
 * Description of Samples provided (The more details, the better). Check: Requirements for PCR Array Sample  Preparation
   · Purified RNA: The amount (µg), Concentration (µg/µl), Method used for purification, and others
   · Cell pellet, Blood, Tissue, Fixed Tissue, LCM etc: Amount (µg) and other informaton
   
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