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Services request
1) Identification
Researcher’s name
Phone
Contact person/coordinator
Email
*
Full address
2) To what species does the tissue belong?
Species
Human
Mouse
Rat
Other
Specify
3) Requested platform:
Ventana Benchmark Ultra
Ventana Benchmark Ultra
Agilent Autostainer Link 48 (Dako)
Agilent Autostainer Link 48 (Dako)
4) Requested services
Requested services
Immunohistochemistry
Immunofluoresence
Others
In Situ hybridization (CISH/SISH)
Options immunohistochimie
Protocol development
Antibody validation
Options immunofluorescence
Protocol development
Antibody validation
Others options / services (contact us)
5) Have you chosen your antibody?
Antibody
Yes
No
Antibody name
Clone
Company
Product number
Would you need advice?
Yes please
No thanks
Name of target protein
Research field
6) Type of samples to analyse
Type of samples
FFPE
OCT
Other
Other type
7) Number of slides to analyse
Number of slides to analyse
8) ISH: Probe to be used
Probe name
Company
Product number
Send
This field should be left blank
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