Pocono Rabbit Farm and Laboratory Inc.

Quick Draw Protocol Order Form

Contact Name: PI Name: E-Mail:

Quick Draw Protocol 28 Day
Quick Draw Protocol 49 Day
Quick Draw Protocol 49 Day w/ Optional Production Bleed Extension (indicate number of extensions )

Peptide Selection / Synthesis / Conjugation (email protein sequence / specs. to antibody@prfal.com OR indicate in the box below)
Peptide Synthesis / Conjugation (email peptide sequence to antibody@prfal.com OR indicate in the box below)

Increase peptide purity to 85%. Increase peptide purity to 90%. Increase peptide purity to 95%. Increase peptide supply to 15-20mg.

Affinity Purification 25ml sera
Affinity Purification 50ml sera
Affinity Purification 100ml sera

ELISA for day 21 immune bleeds
ELISA for preimmune and day 21 immune bleeds

Special requests for peptide synthesis, purifications & ELISAs:
Characters remaining:

Antigen Name - only the first 10 characters will appear on sera vials, reports, etc.
Number of Rabbits to be immunized.		Number of Guinea Pigs to be immunized.
Number of Chickens to be immunized.		Number of Goats to be immunized.
Number of Sheep to be immunized.		Number of Rats to be immunized.
Number of Mice to be immunized.
If you are sending the antigen, amount of antigen sent: mg
If you are sending the antigen in solution, indicate the concentration: mg/ml
If you are sending the antigen, indicate any special preparation instructions on a separate sheet when you send us the antigen.

ASSURANCE STATEMENT PRF&L must have this assurance before initiating your project.
I give assurance that no biohazardous or radioactive materials, toxic, carcinogenic, infectious, or transmissible agents have been submitted to PRF&L for injection into animals. The animals injected are owned solely by PRF&L. However, all of the serum and products obtained from the animals will be the property of the project sponsor or PI. I assure that the information in this form is fully and accurately presented and that I have read and understood PRF&L’s disclaimer ( www.prfal.com/disclaimer.htm). The USDA and NIH require that assurance be given that this request does not unnecessarily duplicate previous experiments.

Signed: Date:

Shipping
All sera and leftover peptide is shipped via Fedex Priority Overnight at the end of the Quick Draw Protocol, frozen on dry ice. Purified antibody is stored and shipped at 4 degrees C. Indicate any exception here:

Store & Ship Sera at 4 degrees C Add 0.025% Sodium Azide to Sera Send sera after each immune bleed

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