Sample Submission/Price Quote Request
Use this form to submit your sample information or price quote request.
Price Quote Request
Please check this box if you need a price quote only. For prices please see our rate table at
Full Name *
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Email Address *
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University of California Principal Investigator/Company/University Name *
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Index #/P.O. # *
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Number of samples *
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Sample Names *
Enter the names of your samples (1 per line, please use short names (4 letters Max) that would fit on top of a 1.5 ml tube).
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