Genome Profiling Services Order Form

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Order / Quote request	OrderQuote request
Customer
Address
Group leader
Billing address
Billing reference
Contact details (email/phone)
Additional information

Sample background information

Organism
If other, please specify
Sample type
Sample source

Pre-processing steps already done

DNA extraction method
RNA extraction method
Other pre-processing methods

Samples

Number of samples
	Read from Excel

Please select the services and products which you want

Microarray

Gene expression

Human

Affymetrix

Amount	Service requested	Notes
	Affymetrix Human Clariom D
	Affymetrix Human Clariom S

Agilent

Amount	Service requested	Notes
	Agilent SurePrint G3 Human GE 8x60K 1-color

Mouse

Affymetrix

Amount	Service requested	Notes
	Affymetrix Mouse Clariom D
	Affymetrix Mouse Clariom S

Agilent

Amount	Service requested	Notes
	Agilent SurePrint G3 Mouse GE 8x60K 1-color

Rat

Affymetrix

Amount	Service requested	Notes
	Affymetrix Rat Clariom D
	Affymetrix Rat Clariom S

Agilent

Amount	Service requested	Notes
	Agilent SurePrint G3 Rat GE 8x60K 1-color

Other

Amount	Service requested	Notes
	Other, please specify by email

CGH

Human

Amount	Service requested	Notes
	Agilent Human Genome CGH 1x1M
	Agilent Human Genome CGH 2x400K
	Agilent Human Genome CGH 4x180K
	Agilent Human Genome CGH 8x60K
	Agilent Human Genome CGH+SNP 2x400K
	Agilent Human Genome CGH+SNP 4x180K

Mouse

Amount	Service requested	Notes
	Agilent Mouse Genome CGH 1x1M
	Agilent Mouse Genome CGH 1x244K
	Agilent Mouse Genome CGH 2x400K
	Agilent Mouse Genome CGH 4x180K
	Agilent Mouse Genome CGH 8x60K

Rat

Amount	Service requested	Notes
	Agilent Rat Genome CGH 1x1M
	Agilent Rat Genome CGH 1x244K
	Agilent Rat Genome CGH 2x400K
	Agilent Rat Genome CGH 4x180K
	Agilent Rat Genome CGH 8x60K

Next Generation Sequencing

Sample Preparation

Amount	Service requested	Notes
	3'RNA-seq / Bulkseq (incl. QC)
	3'RNA-seq / Bulkseq (minus QC)
	Agilent SureSelect Strand Specific RNA Library Prep (incl. rRNA depletion)
	Agilent SureSelect Strand Specific RNA Library Prep (polyA)
	Agilent SureSelectXT all exon
	Illumina Nextera XT DNA Sample Prep
	Illumina ScriptSeq Complete
	KAPA DNA Library Preparation
	NEBNext Ultra Directional RNA Library Prep
	NEBNext Ultra Directional RNA Library Prep (incl. rRNA depletion)
	Roche Nimblegen SeqCap EZ Exome
	SMARTer smallRNA-Seq

Illumina NextSeq 500

Amount	Service requested	Notes
	Illumina NextSeq High Output 1 x 75 bp
	Illumina NextSeq High Output 2 x 150 bp
	Illumina NextSeq High Output 2 x 75 bp
	Illumina NextSeq Mid Output 2 x 150 bp
	Illumina NextSeq Mid Output 2 x 75 bp

Illumina MiSeq

Amount	Service requested	Notes
	Illumina MiSeq 2 x 300 bp
	Illumina MiSeq 2 x 75 bp
	Illumina MiSeq v2 2x150 bp (Nano)
	Illumina MiSeq v2 2x250 cycles (Nano)

DNA/RNA Quality and Extraction

Quality Control

Bioanalyzer 2100

Amount	Service requested	Notes
	Bioanalyzer DNA Quality Control Assay
	Bioanalyzer DNA Quality Control Assay (QC only)
	Bioanalyzer RNA Quality Control Assay
	Bioanalyzer RNA Quality Control Assay (QC only)
	Bioanalyzer small RNA QC Assay
	Bioanalyzer small RNA QC Assay (QC only)

Qubit

Amount	Service requested	Notes
	Qubit DNA/RNA Quantification (10-20 samples)
	Qubit DNA/RNA Quantification (10-20 samples) (QC only)
	Qubit DNA/RNA Quantification (1-9 samples)
	Qubit DNA/RNA Quantification (1-9 samples) (QC only)
	Qubit DNA/RNA Quantification (21-40 samples)
	Qubit DNA/RNA Quantification (21-40 samples) (QC only)
	Qubit DNA/RNA Quantification (41-60 samples)
	Qubit DNA/RNA Quantification (41-60 samples) (QC only)
	Qubit DNA/RNA Quantification (61-80 samples)
	Qubit DNA/RNA Quantification (61-80 samples) (QC only)
	Qubit DNA/RNA Quantification (81-100 samples)
	Qubit DNA/RNA Quantification (81-100 samples) (QC only)

TapeStation 4200

Amount	Service requested	Notes
	TapeStation DNA QC
	TapeStation gDNA QC
	TapeStation RNA QC

Extraction (only as part of a NGS/Microarray project)

Amount	Service requested	Notes
	DNA extraction and purification
	RNA Extraction (Cells)
	RNA extraction (tissues)

Fluidigm

Amount	Service requested	Notes
	Biomark Delta qPCR 48.48
	Biomark Delta qPCR 48.48 (w/o cDNA synthesis and PreAmp)
	Biomark Delta qPCR 48.48 (w/o cDNA synthesis)
	Biomark Delta qPCR 96.96
	Biomark Delta qPCR 96.96 (w/o cDNA synthesis and PreAmp)
	Biomark Delta qPCR 96.96 (w/o cDNA synthesis)
	Biomark TaqMan qPCR 48.48
	Biomark TaqMan qPCR 48.48 (w/o cDNA synthesis and PreAmp)
	Biomark TaqMan qPCR 48.48 (w/o cDNA synthesis)
	Biomark TaqMan qPCR 96.96
	Biomark TaqMan qPCR 96.96 (w/o cDNA synthesis and PreAmp)
	Biomark TaqMan qPCR 96.96 (w/o cDNA synthesis)

Sequencing data delivery

I agree that my sequencing data is delivered via Funet Filesender
I will provide an external hard drive to FuGU

Custom sequencing library statement

FuGU does not take responsibility for library preparations performed outside FuGU and/or if the library preparations involve custom primers.

Original sample material statement

The original sample material provided to FuGU needs to be reclaimed within four weeks following the completion of the project or it will be discarded. FuGU is not responsible for the storage of the original sample material or other material generated during the process (including sequencing libraries).

Publication statement

Customer agrees to acknowledge Biomedicum Virus Core (HelVi-BVC), University of Helsinki in all publications that contain data produced in HelVi-BVC facility or with our products.

I agree with the terms above.