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FUJIFILM Wako Pure Chemical Corporation

ScreenFect™ Sample Ordering form

STEP.1 Data Entry
STEP.2 Confirm
STEP.3 Completion

Please fill out the answers as much as possible. We will give the sample pack of ScreenFect™

Product name

Cell species

Cell name

HEK293, HeLa etc・・・

Cell adhesion properties

Organism of your cell

Tissue of Origin

Cell culture scale

Molecules for transfection

If you do co-transfection, select both.

Cell culture medium (Basal medium)

FBS or FCS etc. (%)

Antibiotic agents (μg/ml) in culture medium

Cell culture medium

Other additives

Medium change

Ex.1) change medium to fresh medium containing 10%FBS 6 hours after transfection.

Ex.2) change medium to serum-free medium just before transfection.

Which transfection method
do you use, 1-Step or 2-Step?

2-Step method seed cells previous day, 1-Step method prepare cell suspension just before transfection.

What cell detachment reagents do you use?

Detection of transfection efficiency

Multiple answers allowed

Detection time after
transfection

What transfection reagent do you use?

Requirments or comments

First Name

Last Name

Affiliation

Section

Zip code

Address

City

States

Country

TEL

FAX

E-mail address

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