Material Submission Form

Please submit this form if you plan to send project materials to Virovek.

Material Submission Form

Customers submit this form when they send project materials to Virovek.

Customer Name(Required)

Organization Name(Required)

Contact Email(Required)

Virovek Quote Number(Required)

Shipping Attention(Required)

Material Submission Details(Required)

Material Type (plasmid DNA, DNA fragment, glycerol stock, etc.)

Material Name (MDH1-PGK-H2Kb2, pAAV-hSyn-hM4D(Gi)-mCherry Addgene stab, etc.)

Tube ID (243-01, 243-02, etc.)

Concentration (ug/ul)

Volume (ml)

Buffer (TE buffer, cell lysate buffer, etc.)

Use this list to submit details about the materials you are sending to Virovek. Use the plus and minus buttons on the right side to add or remove rows for additional materials. If any field is not applicable to the material, leave it blank and proceed.

Phone

This field is for validation purposes and should be left unchanged.