Micobiome

1. Customer Information

Provide the primary contact responsible for the request.

Organization

Department

Contact name

Email

Telephone

Customer or account number

Billing address

Purchase order number

Quote number

2. Project and Requested Services

Select all requested microbial sequencing services. Final scope and input requirements will be confirmed during technical review.

Microbial DNA extraction 16S rRNA gene sequencing ITS fungal profiling Custom microbial amplicon sequencing Shotgun metagenomic sequencing Bacterial isolate whole-genome sequencing

Project title

Study, protocol, or project ID

Host, environment, or sample source

Expected number of samples

Project objective

Amplicon Community Profiling

Marker or target

Target region

Requested reads per sample

Primer preference

Preferred taxonomic database

Control strategy

Shotgun Metagenomics

Primary objective

Requested reads or data per sample

Host-read depletion

Reference databases, functional targets, or assembly requirements

Bacterial Isolate Whole-Genome Sequencing

Assembly level

Sequencing approach

Requested coverage

Bacterial isolate analysis options

3. Deliverables and Analysis

Select all requested outputs. Final scope and pricing are confirmed during review.

Preferred pipeline, database, or software

Taxonomic level or additional file formats

Group comparisons, covariates, filtering, statistics, or reporting requirements

4. Sample Information

Add one record for each submitted sample. Use coded identifiers only.

5. Shipping and Data Delivery

Planned shipment date

Carrier

Tracking number

Shipping condition

Requested turnaround

Preferred data delivery

Shipping, handling, or data-transfer notes

6. Customer Authorization

The submitting customer must review and accept the statements below.

I certify that the information is accurate and the submitted materials are authorized for microbial sequencing and related services.

I certify that the submission contains no direct patient identifiers.

I have disclosed all known biological hazards, infectious agents, recombinant materials, and special handling requirements.

Authorized name

Title

Date

Electronic signature

7. Laboratory Use Only

Accession or project number

Date received

Received by

Condition on receipt

Sample acceptance

Technical review

Laboratory notes

Item added to your cart

Microbiome and Microbiota Sequencing Service Request

Service Request Form

1. Customer Information

2. Project and Requested Services

Amplicon Community Profiling

Shotgun Metagenomics

Bacterial Isolate Whole-Genome Sequencing

3. Deliverables and Analysis

4. Sample Information

5. Shipping and Data Delivery

6. Customer Authorization

7. Laboratory Use Only

Sample

Amplicon Profiling Details

Environmental Matrix Details

Host-Associated or Low-Biomass Details

Microbial Isolate Details