Form to Request Transgene DNA Pronuclear Injections

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PI Date
Contact person Lab room
Phone Email
Department Cancer Center Member?
PTAO Funding source NIH etc.
Name of construct Concentration of plasmid DNA
Promoter/enhancer Plasmid purification method
Is this regulatory element known to drive expression in transgenic mice?
Has this construct been expressed in cell culture or mice?
Animal protocol # CCM #
Mouse room:

Brief description of the gene and aims of the transgenic experiment (please attach a map of the construct):

The success rate of the transgene injection procedure is highly dependent on the nature and the purity of the DNA.  GTTF will carry out the purification of the transgene DNA.  This injection service carries a guarantee of at least 3 transgenic founder animals, if our protocols are followed diligently and you prove your ability to detect even single copy integration events.  GTTF's liability is limited to the cost of the animals.

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.