FACS Core Request for Services</

FACS Core Request for Services

Please choose the service you wish to have performed, and enter the appropriate information. We will call you to get further details and to schedule a time when we can complete this service.

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P.I.	You must select a P.I. for this order. Choose your P.I.'s name from the list on the right to select.
Contact Person
Location
Phone
Email		Fax
Comments
Comments

Choose only 1 service. (eg: Do not enter number of cells for Analysis Service, and vice-versa.)

Analysis Service: Enter number of samples:
Sorting Service: Enter number of cells (in millions):
I'd like to request time for this day:
Estimated time to process:

Hours Performed
Hourly Rate	$

= Estimated Total $

Billing
If outside USC, you may use a PO, including CHLA and Doheney Inst.

Payment Method:

USC Account Number
Purchase Order (PO)
Account will be provided later
Credit Card

USC Account # or PO:

Organization

(optional)

Grant #

(optional)

Anantomical Site

Human Stem Cell research?

YesNo Under penalty of law, please honestly indicate if this order is for non-Federally approved Human Stem Cell research? Federal regulations require these projects not be subsidized by federal funds. If yes, additional costs may apply.

Invoice Mailing Address (POs)
Enter Address
Refresh Address

NEW! To copy order completed emails to your PI/Lab Manager, contact us.