============================================================================
   WUSM Division of Human Genetics Genotyping Core Sample Submission Form
============================================================================

Please print and fill out this form, then include it with your sample DNA 
plates when submitting for Sequenom genotyping. 

Be sure to label the base of each sample plate (not the disposable 
lid!) with your name and lab identifier. If you do not have the multiplex 
design ID(s), email cindy or sduan at hg.wustl.edu with approximate design 
date and SNP content and we will email you the multiplex ID information.

	Date: _________________________________________________

	Your name:  ___________________________________________
	
	Your email: ___________________________________________ 

	Department: ___________________________________________ 
	
	P.I. for your Lab:  ___________________________________
	
	Lab phone: ____________________________________________

	Species: ______________________________________________
  

	Number of DNA plates:  ______#96-well	________#384-well
	
	Each plate needs an electronic sample sheet. 
	 96-well: http://humgen.wustl.edu/gtcore/sqnm-sample-template.txt
	 384-well: http://humgen.wustl.edu/gtcore/384-sample-template.txt 
	Replace the word 'blank' with your samples' names. Save as text file.
	Email completed file(s) as attachment to sduan at hg.wustl.edu.)

===========================================================================
Type of analysis (check which type and fill in information):

 ___Genotype new sample plate with NEW multiplex(es)
		Sample Plate name(s):
		
		Multiplex ID(s):
		
		Your file name for electronic sample sheet(s):
	
		
 ___Genotype new sample plate with OLD multiplex(es)
		Sample Plate name(s):
		
		Multiplex ID(s):
		
		Your file name for electronic sample sheet(s):
		
		
	
 ___Genotype previously submitted sample plate with NEW multiplex(es)
 		Sample Plate name(s):
		
		Multiplex ID(s):
		
		Your file name for electronic sample sheet(s):
		
		
		
Comments (or special instructions):