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Name of Investigator
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Name of Organization
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Email
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Fax Number
Phone
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Multi-line address
Country/Region
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Address
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City
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Zip / Postal code
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Type of Tissue
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Mouse brain
Mouse spinal cord
Rat brain
Rat spinal cord
Other
Tissue Being Processed
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Unfixed
Fixed-Perfusion
Fixed-Immersion
Other
Will the sample be used for stereology analysis?
*
Yes
No
Colorimetric Immunostaining
*
SI 101- One primary antibody on free- floating sections
SI 102- One primary antibody mounted on slides
SI 103- Two primary antibodies on free- floating sections
SI 104- Two primary antibodies mounted on slides
SI 107- 1- One primary antibody on free- floating sections; prepared by investigator
SI 107- 2- One primary antibody mounted on slides; prepared by investigator
SI 107- 3- Two primary antibodies on free- floating sections; prepared by investigator
SI 107- 4- Two primary antibodies mounted on slides; prepared by investigator
Primary antibody(ies):____________and _____________(if applicable)
Immunofluorescence Labeling
*
SI 201- One primary antibody on free- floating sections
SI 202- One primary antibody mounted on slides
SI 203- Two primary antibodies on free- floating sections
SI 204- Two primary antibodies mounted on slides
SI 205- Three primary antibodies on free- floating slides
SI 206- Three primary antibodies mounted on slides
SI 207- 1- One primary antibody on free- floating sections; prepared by investigator
SI 207- 2- One primary antibody mounted on slides; prepared by investigator
SI 207- 3- Two primary antibodies on free- floating sections; prepared by investigator
SI 207- 4- Two primary antibodies mounted on slides; prepared by investigator
Primary antibody(ies):____________and _____________(if applicable)
Immunogold Labeling
*
SI 301- One primary antibody on free- floating sections
SI 302- One primary antibody mounted on slides
SI 303- Two primary antibodies on free- floating sections
SI 304- Two primary antibodies mounted on slides
SI 305- 1- One primary antibody on free- floating sections; prepared by investigator
SI 305- 2- One primary antibody mounted on slides; prepared by investigator
SI 305- 3- Two primary antibodies on free- floating sections; prepared by investigator
SI 305- 4- Two primary antibodies mounted on slides; prepared by investigator
Primary antibody(ies):____________and _____________(if applicable)
Testing & Titration of Primary Antibody
*
SI 401- Colorimetric immunostaining on free- floating sections
SI 402- Colorimetric immunostaining mounted on slides
SI 403- Immunofluorescence immunostaining on free- floating sections
SI 404- Immunofluorescence immunostaining mounted on slides
SI 405- Immunogold labeling mounted on slides
Additional Information:
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