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Adeno-associated virus request form

SERVICE REQUIREMENTS
1. Gene accession number (mRNA NCBI reference):
Can you provide the DNA gene template (along with its coding sequence) for sub-cloning?
2. Please select the promoter you would prefer for the gene:
Please, specify:
3. Do you need a tag?
4. Serotype:
5. Gene/section to be cloned:
6. Packaging required:
More information:
CONTACT DETAILS
Date/Time of Request:20/11/2017 02:24:30
Name(*): 
Telephone Number(*): 
FAX Number:
Email Address(*): 
Organisation(*): 
Department:
Company:
Your Reference Number:
Address(*): 
Post Code(*): 
Country:
Purchase Time Frame(*): 
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