PI and Billing Information
Primary Investigator
Email Address
Project Name
IACUC Protocol Number
Billing Contact
Billing Contact Phone Number
Billing Contact Email Address
KFS Account
KFS Sub-Account
Split billing (Please specify in Additional Comments below)
Services
Gene Targeted
Vector Evaluation
Vector Design & Construction - Simple Knockout
Vector Design & Construction - Conditional Knockout
Vector Design & Construction - Conditional Knockin
DNA Electroporation Into Mouse ES Cells
Transient Recombinase Expression in ES Cells
Blastocyst Injection
Transgenic
Vector Evaluation
Vector Design & Construction - Simple
Vector Design & Construction - Conditional
Pronuclear Injection
Cryopreservation Services
Sperm Cryopreservation
Annual LN2 Cryogenic Storage Fee
In Vitro Fertilization (Mouse)
Embryo Rederivation
Embryo Rederivation
Other
Gemm Core Hourly Service Fee
Grant Section Writing / Figure Preparation
Non Gemm Core ES Cell Clone Expansion
Short Diagnostic PCR Reaction Development
PCR Genotype Troubleshooting
You must select at least one service in order to submit this form for processing.
Additional Comments