Sample Submission form

Sample Submission Form
Please use this form to tell us about you and your sample.

You should receive an e-mail as soon as you submit the form. Please print it out and include it with your samples.

Please call or e-mail if you have any questions (Proteomics)
530-754-9474 (Edman sequencing and Amino Acid analysis)

For Proteomic samples, we prefer samples be sent in standard 1.5 ml microcentrifuge tubes whenever possible.
* Required
Email address *
Your email
Submitter Name *
Who are you?
Your answer
Laboratory name
Your answer
Company Name
Your answer
Date you are sending sample(s) *
Contact Number
Your answer
I have Created a Genome Center Online Account *
If no please create acct. here
If you have multiple PO or Account #'s please tell us which one to use for this sample. Or state "Science Exchange" if you are using them.
If you don't fill this out we may bill a random account or PO#
Your answer
Affiliation *
I have sent previous samples to
This is what I want to do *
If you need more than one service, please submit multiple forms (sorry...)
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