Molecular Filarial Materials Requisition Form for Items at Smith College

Recipient Information

Recipient First Name

Recipient Last Name

Recipient E-Mail Address

Principal Investigator Information

PI First Name (given name)

PI Last Name (surname)

Mailing Address

Institution:

Street Address Line 1

Street Address Line 2 (if needed)

Street Address Line 3 (if needed)

City

US State/Canadian Province

Zip Code

Country

Phone Number

Fax Number:

Your E-Mail Address

Shipping Information

FedEx/DHL Account Number

Perferred Delivery Date

Year / Month / Day

Request DNA Libraries or individual clones. As of October 1, 2011, clones from indicated libraries (*) will ONLY be available through BEI resources (www.beiresources.org); complete libraries can still be ordered through Smith College.

Onchocerca volvulus

Onchocerca volvulus (*clones available through BEI, libraries through Smith)

Microfilaria cDNA (SAW98MLW-OvMf)*

L2 cDNA (SAW98MLW-OvL2)*

Infective L3 cDNA (SAW94WL-OvL3)*

Adult female cDNA (SAW98MLW-OvAF)*

Adult female ivermectin treated cDNA (SAW99PF-OvAF)

Genomic (OvG)

L3 Molting cDNA (Ov3M)*

Adult male cDNA (SAW98MLW-OvAM)*

Onchocerca ochengi

Onchocerca ochengi Infective L3 cDNA Library (SAW98MLW-OoL3)

Infective L3 cDNA

Wuchereria bancrofti

Wuchereria bancrofti (*clones available through BEI, libraries through Smith)

Microfilaria cDNA (SAW95SJL-WbMf)*

Infective L3 cDNA (SAW96MLW-WbL3)

Adult female cDNA (JHU94SL-fWb)

Adult male cDNA (JHU94SL-mWb)

Key:	SAW98MLW-OvMf
-	SAW	Lab: SAW = Steven A. Williams' Lab JHU = Johns Hopkins University - Alan Scott's Lab
	98	year constructed
	MLW	initials of the individual who constructed the library
	Ov	species: Ov = Onchocerca volvulus Oo = Onchocerca ochengi Bm = Brugia malayi Wb = Wuchereria bancrofti
	Mf	stage: Mf = microfilaria L2 = second larval stage L3 = third larval stage L3d6 = L3 to L4 molt, day 6 L3d9 = L3 to L4 molt, day 9 L4 = fourth larval stage AF = adult female AM = adult male

Request an Individual (non BEI-supplied) DNA Clone or Serum Sample

We supply individual cDNA clones from some of our libraries (not the ones designated as supplied through BEI), as well as B. malayi BAC (genomic DNA) clones donated by New England Biolabs. Please indicate which type of clone you want to order, and supply the name. Do not use the Genbank accession number. This order form may also be used to order anti-filarial serum samples.

Examples: SWOv3MCA223SK

SW: Lab where sequencing was done.
SW = Steven A. Williams
BS = Barton Slatko
MB = Mark Blaxter
RR = Reda Ranzy
KJ = Kunthala Jayaraman
TN = Tom Nutman
PF = Peter Fischer

Ov: species

3M: stage

CA223: clone name

SK: sequencing primer

Serum Samples Requested

Serum Req 01

Serum Req 02

Serum Req 03

Serum Req 04

Serum Req 05

Serum Req 06

Serum Req 07

Serum Req 08

Serum Req 09

Serum Req 10

Misc Requests / Comments

Request Bm14 Antigen: Amount requested (limit 200 micrograms)

Request ICT card standard: Amount requested

Date of Submission