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ScreenFect™ Sample Ordering form

STEP.1 Data Entry

STEP.2 Confirm

STEP.3 Completion

Product name	ScreenFect™ A ScreenFect™ siRNA ScreenFect™ A plus ScreenFect™ mRNA SFA P-reagent Other
Cell species	Primary Cell line Other
Cell name	HEK293, HeLa etc･･･
Cell adhesion properties	Adhesive Suspension Other
Organism of your cell	Human Mouse Rat Monkey Dog Other
Tissue of Origin
Cell culture scale	96 wells 24 wells 12 wells 6 wells 10cm 6cm dish Other
Molecules for transfection If you do co-transfection, select both.	Plasmid DNA siRNA mRNA Other
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.	1-Step (reverse transfection) 2-Step (forward transfection)
What cell detachment reagents do you use?
Detection of transfection efficiency Multiple answers allowed	GFP Luciferase mRNA knock-down Fluorescent microscope Luciferase assay FCM qPCR Western blot Other
Detection time after transfection	12hr 24hr 36hr 48hr 60hr 72hr 84hr 96hr Other
What transfection reagent do you use?
Requirments or comments
First Name
Last Name
Affiliation
Section
Zip code
Address
City
States
Country
TEL
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E-mail address
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