Form to Request Targeting Vector Construction

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PI Date
Contact person Lab room
Phone Email
Department Cancer Center member?
PTAO Funding source NIH etc.
Gene name Accession #
Proposed positive selection  Proposed negative selection
Proposed loxP sites: Proposed FRT sites:
PI/lab providing the genomic clone: or GTTF obtaining the clone? (check one)

Brief description of the gene and aims of the targeting experiment:

We guarantee that the GTTF will construct a targeting vector in a timely manner, subject to the contingencies and difficulty of the cloning steps.  There is no guarantee that the gene targeting will succeed in ES cells, since this depends entirely on the accessibility and targeting frequency of the gene itself, which is unknown until attempted.  However, our track record has been successful and we are experienced with these procedures.

investigator's signature for agreeing to the terms

GTTF's signature for acceptance of the project

Please click "Submit" button to send the request electronically to GTTF.  Click "Back" button on your web browser to print, sign and bring the form to Jordan 2223 (ext. 2-3990) to confirm the timeline of the service.  Electronic signature is not available at this time.