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Transposon Mutant Academic Institution Order Form
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University of WashingtonPLEASE COMPLETE THE YELLOW-HIGHLIGHTED BOXES
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Genomic and Mutant Services
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Department of Laboratory Medicine and Pathology
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Salipante Lab, HSB RR837
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1705 NE Pacific Street
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Seattle, WA 98195
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Project title:
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Grant #Funding Period
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Bill To:Send strains to:
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Company:Company:
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Address1:Address1:
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Address2:Address2:
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City, State, Country, ZIP:City, State, Country, ZIP:
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Phone:Phone:
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Contact Name:Contact Name:
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Email:Email:
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Customer UW Budget #:
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Check if billed to:
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Fed GovtPayment Method:
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WA State Agency("PO", "credit card", "bank transfer")
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Other govt agencyPlease enter PO#
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FedEx number
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Total number of strains requested (enter 7 at minimum):
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Strain cost @ $44/strain ($308 minimum):
$308.00
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Shipping costs (if applicable)
NOTE: If you do not provide a FedEx number, your order will incur shipping costs. Contact us to determine these costs.
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Labor and supply costs ($108 for units of up to 10 strains)
$108.00
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Sum$416.00
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Order total, including 25.6% institutional overhead fee
$522.50
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Individual Strain Orders
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It is recommended that requestors order appropriate control strains for their experiments, in addition to requested mutants. Please consult our website for details.
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For each mutant requested, paste the information (including the "location" and "PAORF") from the strain list for each strain requested below:
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Strain NameLocationLocus
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Example:PW1001phoAwp07q1B10PA0003
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Strain 1
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etc.
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Library and Pool Orders
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Two-Allele Library, $12,000
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Transposon mutant pool, $1,200
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After this form has been completed, send a copy in Excel format to stevesal@uw.edu to initiate the request process
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Questions should be sent to stevesal@uw.edu
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Please acknowledge grant # SINGH24R0 on publications resulting from the use of these strains
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