Sanger Sequence Order Form Sanger Sequence Order Form Note: Fill this form, print and send along with the samples or mail to service@immugenixbio.com Order No: Delivery Details Name: Institute/Department: University/Company: Address: City: Postal Code: Contact Number: Email: Billing Details Name: Institute/Department: University/Company: Address: City: Postal Code: Contact Number: Email: Additional Services Required (Yes/No) Column Purification: Gel Purification: gDNA/Plasmid Isolation: Amplification: Primer Walking: Others: Sample Requirements Sample Concentration Volume Plasmids 100–200 ng/μl 20 μl PCR Products 30–50 ng/μl 25 μl Primers 10 pM/μl 10 μl Additional Information (Mandatory) Note: Please mention the Reaction and Purification as given below Total No. of Reaction: Total No. of Purification: Total No. of Reaction: Total No. of Purification: