UWO Oligo Factory Order Form

Note: This form now works properly again.

Customer Name:
Phone:
Department:
Email: check e-mail carefully for errors
Grant holder:
Grant Number:

Scale: 40 nMole, 200 nMole, Other amount - specify in box:

Please provide a name for each oligo (in boxes on left-hand side below). Write your oligonucleotide sequence 5' to 3' (in boxes on right-hand side below).

Indicate any sites of modification and explain the modification in the large text-box below the oligo order.

Oligo Name                                                       Oligo Sequence

Oligo 1:
Oligo 2:
Oligo 3:
Oligo 4:
Oligo 5:
Oligo 6:
Oligo 7:
Oligo 8:
Oligo 9:
Oligo 10:

Please explain any modifications here:


Note: the information is now sent directly to the synthesis facility. If you need to alter the information, please send email to The Oligo Factory immediately after submitting!

Can't use this form for some reason? Please send Email to Julie Genereaux.