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Digital Histology Shared Resource

Brightfield Slide Submision Form


Make sure your slides are clean and free of fingerprints and excess mounting media
Please take a moment to read this page on Slide Submission Considerations.
This will help ensure the timely processing of your submission.

Principal Investigator : 
P.I. Email : 
P.I. Phone : 
P.I. Affiliation :  
 
Contact Person (if not P.I.) : 
Contact Email : 
Contact Phone : 
Center Number :       Date:  

Number of Slides Submitted : 
Analysis Required 
Magnification : 20X 40X
Slide Type : Standard (25x75mm)  Double (52x76mm)
Folder Name :  - (optional folder name)

Input the names of your slides in the same order in which they will be submitted
(top to bottom - alphanumeric characters only - NO # / \ ; : [ ] { } . , &  ! @ $ ^ * )

(Optional - For your records)

    

This page was last updated March 23, 2015 and is maintained by