MALDI-Q-TOF Sample Submission Form
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MALDI-Q-TOF Sample Submission Form PEPTIDE MASS FINGERPRINT OR MSMS ANALYSIS Purpose: To use proteolytically or chemically cleaved protein fragments to identify a protein Customer Details Contact Name: Principal Investigator: Phone: Fax: E-Mail: Organisation/Lab: Billing Address: Customer#: Sample Details Sample name: Sample format: solid/liquid/PVDF/gel Approximate MW: Approximate pI: Additional Notes: (Please provide any additional details relevant to the sample) Species: Quantity of protein pmole. Concentration µM. Estimated purity (%) Method of purification: If purified by electrophoresis please state stain used: Do you suspect the protein is modified, eg. Glycosylation? If the sample is a liquid, what solution is the sample in? Please state buffer and salt concentrations: # Of suspected PTM sites: Cleavage agent: eg. Trypsin, CNBr, etc. Special handling of sample: For database searching please include the chemicals used for reduction and alkylation, if any: Service: Database search required: ZipTip Clean Required: Maldi-q-TOF MS/MS Yes: No: Yes: No: Maldi-Q-TOF PMF Yes: No: Yes: No: Send Sample To: Mr. David McLeod E-mail: email@example.com Protein Function Discovery Facility Phone: 1-613-533-3164 Queen's University Fax: 1-613-533-2497 614 Botterell Hall, Stuart St., Kingston, ON, Canada I have read and understood the PFD Mass Spectrometry Price List and agree to the charges. I have also prepared the sample(s) according to PFD’s guidelines (available upon request) Print Name Sign Name Date Samples are placed in a queue upon receipt with the completed form. For urgent and other services, please contact us via e-mail firstname.lastname@example.org. Payment by credit card preferred.