Pin Transfer Request
Pin Transfer Request


(If you would like to send a copy to more than one email address, please separate them by a (,) comma .)
Name:
Email:
Re-enter email:
Screen ID# or Description of Screen:
My preferences for pin transfer date/time are:
1st choice Date:
Time: - if other, please specify in comments
2nd choice
(optional)		 Date:
Time: - if other, please specify in comments
Plate numbers:
(if plate numbers are not entered at the time of request they must be received by the screening staff no later than 24 hours before the scheduled appointment. Failure to do so will result in a cancellation of the appointment)
Robot preference: (not required)
Pin Array Volume: nL
Replicate #:
Total number of transfers per library plate.
Comments:
(optional)

Submitting this form does not guarantee you a scheduled pin transfer time; you must receive a confirmation email from the screening facility staff.

A copy of your completed application will be sent automatically to the email address that you provided above.