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University of Kentucky Proteomics Core Facility

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Order Form for Protein Identification

Send to: Carol Beach

B-154/B-111 BBSRB

(859) 257-4932

Principal Investigator____________________________ Date______________

Address_________________________________________________________________

Phone #_______________ Account Number__________________________________

Department____________________________________________________

Business Manager Phone #_______________________________________

Sample submitted by:____________________________________________

Phone #_________________________________________

E-mail address:_____________________________________

Source Species:_________________________________________

Type of staining_________________________________________

Sample Name:_________________________ Estimated MW: __________

__________________________ __________