Oligonucleotide Request Form
* indicates required field  
Total Number of Requests *
Full Name: *
Building / Room #: *
Phone Number *
Email Address *
Billing PI (Full Name): *
6-digit Account #(i.e.: 1-23456): *
Date: *
Sequence (In Triplets 5' --> 3')  
Length *mer
Paste your oligo sequence here:
or type in your oligo sequence here:
3 6 9 12 15 18
21 24 27 30 33 36
39 42 45 48 51 54
57 60 63 66 69 72
75 78 81 84 87 90
93 96 99 102 105 108
List Modifications: None
Optional Purification Trityl On (full length) Desalt Only None *
Designation (<= 8 Characters): *
Comments
Scale of Synthesis 40nmole 0.2umole 1umole 2.5umole 10umole *
Please check order carefully before submitting form.
One oligo per form please
Symbols used to indicate degenerate positions: Symbols for special bases and labels:
M = (AC)
R = (Ag)
W = (AT)
S = (gC)
Y = (CT)
K = (gT) 		V = (AgC)
H = (ACT)
D = (AgT)
B = (gCT) 		N = (AgCT)
Bt = Biotin
F = Fluorescein
I = Inosine
U = Uridine
p = 5' or 3' phosphorylation

Other special items available, please call.