iRepertoire Sample Submission Form

Your sample will not be processed if no sample information is received. Please contact customer service (info@irepertoire.com) if you would like to submit your sample information in Excel format.

The more detailed information you are able to provide, the better able our Service team will be to carry out your project to the highest standards.

*When naming samples, please note that our pipeline will ignore some characters, including parentheses and plus signs (+). If these characters are used, they simply will be absent when the data populates online. Spaces will be replaced with underscores (_).

**Please disclose the sources of the nucleic acid (NA). Ex. PBMC, tissue, sorted cells, etc.

Sample Information - Nucleic Acid *

	Unique Sample Name*	Concentration (ng/µL)	A260/280	Volume (µL)	NA Source**	Any other details (cell staining, etc.)
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Additional Sample Information - Nucleic Acid

	*Unique Sample Name	Concentration (µL)	A260/280	Volume (µL)	NA Source**	Any other details (cell staining, etc.)
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Bulk Cell Submission

If you have no bulk cells to submit, put "N/a" in the first field and click the next button at the bottom of the page. Separate tables are provided on the next pages for submission of intact tissue and/or PaxGene whole blood.

Your sample will not be processed if no sample information is received. Please contact customer service (info@irepertoire.com) if you would like to submit your sample information in Excel format.

The more detailed information you are able to provide, the better able our Service team will be to carry out your project to the highest standards.

*When naming samples, please note that our pipeline will ignore some characters, including parentheses and plus signs (+). If these characters are used, they simply will be absent when the data populates online. Spaces will be replaced with underscores (_).

Sample Information - Bulk Cells *

	Unique Sample Name*	Cell Count	Cell Type (whole blood, sorted, etc.)	Elution or Storage Buffer (please include vendor name if possible)	Method of Freezing	Any other details (cell staining, etc.)
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Additional Sample Information - Bulk Cells

	Unique Sample Name	Cell Count	Cell Type (whole blood, sorted, etc.)	Elution or Storage Buffer (please include vendor name if possible)	Method of Freezing	Any other details (cell staining, etc.)
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Tissue Submission

If you have no tissue to submit, put "N/a" in the first field and click the next button at the bottom of the page. Separate tables are provided on the next page for submission of PaxGene whole blood.

Your sample will not be processed if no sample information is received. Please contact customer service (info@irepertoire.com) if you would like to submit your sample information in Excel format.

The more detailed information you are able to provide, the better able our Service team will be to carry out your project to the highest standards.

*When naming samples, please note that our pipeline will ignore some characters, including parentheses and plus signs (+). If these characters are used, they simply will be absent when the data populates online. Spaces will be replaced with underscores (_).

Sample Information - Tissue *

	Unique Sample Name	Tissue Type (FFPE Slide/Curl, Biopsy, etc.)	Tissue Source	Size of Sample (µm)	Number of Submissions per Sample (if submitting multiple slides or biopsies)	Any Other Details
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Additional Sample Information - Tissue *

	Unique Sample Name	Tissue Type (FFPE Slide/Curl, Biopsy, etc.)	Tissue Source	Size of Sample (µm)	Number of Submissions per Sample (if submitting multiple slides or biopsies)	Any Other Details
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PaxGene Whole Blood Submission

If you do not have whole blood samples to submit, put "N/a" in the first field and click the next button at the bottom of the page.

Your sample will not be processed if no sample information is received. Please contact customer service (info@irepertoire.com) if you would like to submit your sample information in Excel format.

The more detailed information you are able to provide, the better able our Service team will be to carry out your project to the highest standards.

*When naming samples, please note that our pipeline will ignore some characters, including parentheses and plus signs (+). If these characters are used, they simply will be absent when the data populates online. Spaces will be replaced with underscores (_).

Sample Information - PaxGene Whole Blood *

Additional Sample Information - PaxGene Whole Blood *

In order for iRepertoire to process shipped samples, the following declaration must be completed and included with the shipment. This certification allows us to better protect the health of personnel who come in contact with the samples during the course of packaging, transport, and processing. Biohazardous materials may include, but are not limited to: human blood, infectious agents such as viruses or bacteria, mutagens, carcinogens, teratogens, toxins or any other agent that constitutes a threat to human safety. If you use any materials that can be considered a biohazard AT ANY STAGE in the preparation of the samples, they must be disclosed below. If you have any questions regarding our hazardous materials policy, please contact us before shipping samples.

Please choose one of the following options:
Hazardous Materials Declaration *

My samples are not contaminated with and have not been exposed to any hazardous agents. My samples may be contaminated or may have come in contact with hazardous agents.
Exposure prior to nucleic acid isolation:
Should be Empty:

iRepertoire Sample Submission Form for Bulk Amplification