Service Request/Notification Form Start the Process IMC Service Request Please contact the core manager to develop a service agreement with the IMC before any sample is dropped off. Core Manager: Thinzar Myint (thinzar.myint@ufl.edu) Sample Delivery NotificationPlease use this form to notify us of both before and after the delivery (first to give us the advance notice when the collection is scheduled, second to confirm the sample delivery at J513) to ensure the processing of the sample within 24 hours from the time of sample collection.Name Mr.Mrs.MissMs.Mx.Dr.Prof.Rev. Prefix First Last Email* PI or Company Name* Total Number of Different Sample IDs* Please List Sample IDs Here.* Number of Tubes Per Sample ID.* If different number of tubes for each sample ID, please list the numbers in commas in respect to to the Sample IDs in the above field.Have you dropped off the sample?*Yes. The sample has been dropped off at the time indicated below.No. This is the in-advance notification.If 'no', please indicate the estimated time of the drop-off below. If 'yes', please let us know when the sample was dropped off.Estimated date and time of the sample drop-off at J513 in BMSB Type of service(s) requested* Flow Cytometry Data Collection Flow Cytometry Data Analysis Fluorescence-activated Cell Sorting (FACS) PBMC Isolation PBMC cryopreservation Project Name Course Advanced Flow Cytometry: Panel Design and Analysis Bio-Rad S3e Cell Sorter Operator Training FlowJo Analysis FACSAria IIu/III Cell Sorter Operator Training Intro to Flow Cytometry Total Sample Volume (mL) Method of Payment* UF Project Chart-Field Check Pay with Invoice later - Service Agreement UF Chart-Field or Project NumberPlease enter the UF Project Number that the funding will come from. If you don't know the project number, enter the phase you would provide to your admin for direction (e.g., "R01," "Flex," or "Pfizer") Checks are accepted!Additional Comments:Untitled