Biotechnology & Genomics
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MASS SPEC REQUEST FORM

Please fill in the following form, then hit "next".

Request by:
Date:
Department:
FOP#:
Mail Stop:
Email Address:
Telephone #:
Faculty:

Please fill out form to ensure the best possible results of your sample:

Sample ID:

Molecular Weight:

Could your sample be a subunit of a larger protein?

Approximate amount given or description of spot from gel:

Digest enzymes (e.g. Trypsin):

Modifications (Alkylation, Phosphorylation):

Estimated Purity:

Can you get more sample?

Species of origin:

Additional information: