Eureka Genomics Sample Submission Form DNA

Completed forms must be included with the sample shipment and sent by email via the submission button below. Samples lacking a completed form will be
delayed and/or refused.

Required fields are bold

Step 1.

Quote #

Step 2. General Information

Principal Investigator:
Date Submitted:
Phone:
E-mail:

Step 3 . List of Samples

Sample Description Sample ID
as appears
on tube		 Type DNA DNA
Amount
(ng)		 Total
Volume
(uL)		 Is a gel image
QC
Included?		 Is the A260/280
QC
Included?		 Indexed?
 Specify
Sequencing Type
and # Cycles
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

For Shipping and Handling Information, Click Here.

Sample requirements and documentation for submission

Access code:
Please enter the word "egcode" in the space above to submit form.