Sample submission form

Today's date

Personal information

Last name*

First name*

Email address*

Phone number*

Your lab website (or institute website)

Institute*

Department*

Erasmus MC theme (only required for EMC researchers)

Billing information

Principal investigator*

Email address*

Institute*

Department*

Erasmus MC theme (only required for EMC researchers)

Erasmus MC budget no. (only required for EMC researchers)

Billing addres (only for non-EMC researchers)

VAT no.

Purchase order (PO) no.

Quote no. (if available)

Sample information

Proteins have been alkylated:
NoYes

Proteins are:

If other, please specify:

The gel is stained with:

Proteins have been digested already:
NoYes
If yes, the protease used was:

If other, please specify:

What needs to be analyzed?

If other, please specify:

Total number of samples*:

Name and number all your samples here*:

Uniprot ID of your co-IP target protein:

Name of your co-IP target protein, including all synonyms known to you:

Details about the antibody:

Cell line used:

Species*:

If other, please specify:

Type of quantitation requested*:

If other, please specify:

Analysis of post-translational modifications (always discuss with Proteomics Center staff first!):

Describe the goal of your experiment in detail and post any questions or comments here*:

Additional information

Upload a picture of your gel, relevant protocols, etc. (<10 MB):

Acceptance & submission

I accept the terms and conditions.