Library Quote Request

1. Library type:
Pre-defined set
Custom set (I supply the list of targets.)

2. Description of library set/genes targeted:
(e.g., human kinases, human druggable genome, custom set)

3. Number of siRNAs per gene:
2
3
4
Other: 


4. Amount of each siRNA required:
1 nmol
2 nmol
5 nmol
Other: 

5. Plate layout:
96 well plates, last column empty
384 well plates, last two columns empty
Other: 

Unless otherwise specified, quotes will be provided for the design, synthesis, QC, and delivery of standard purity siRNAs supplied in the format indicated above.

6. Additional information or special requests:

7. When will your project start?

8. Questions or comments:

9. Contact Information:
First Name:
Last Name:
Institution:
Dept/Bldg/Room #:
Street Address:
Street Address:
City:
State/Province:
Zip/Mail Code:
Country:
Phone Number:
Fax Number:
Email Address:

10. How would you like to be contacted?
Phone. Best time to call: 
Email
Fax