EmailMe Form - Media Prep Order Form

Your name: *

Your email *

Lab/PI name *

Format *

If you select other please write in what format you'd prefer below

Other Format

Media *

If you select other please include recipe and instructions under MEDIA INSTRUCTIONS field

Antiobiotic:

Final antiobiotic concentration:

Total volume desired in Liters *

Volume per plate

Stripe code

Media Instructions: *

Please enter detailed instructions for media preparation here including final antibiotic concentrations

Date for delivery/pickup *

MM / DD / YYYY

Please allow 3-4 days for your order to be prepared

Chart string for new users

If you are a new user of this facility please enter your UCB chart string here

Delivery location