macroarray printing submission form

User name (format like John Smith or Dr. Jane Adams):
Email address:
Lab:
Account or SUR #:
Original biological source:
DNA type:
DNA size: bp (avg)
# membranes needed:
 
Normalization requested?: No       Yes
 
If yes, to what concentration? ng/µl
 
Other special instructions?
 
Plate 1 name:
Plate 2 name:
Plate 3 name:
Plate 4 name:
 
 :