NCC Submission Form

Step 1 of 5

NEW SUBMISSION FORM! Fill out this form after you have reserved a spot in the current screening run.

To reserve a spot, make sure you have sent an email to getacrystal@buffalo.edu by the reservation deadline. Include contact name, PI name, institution, and number of samples. Thanks!

Have you emailed us to reserve a spot for the upcoming screening ?*

Please note the reservation deadline, package acceptance dates and plate setup dates are available on the website.

Yes

If you answered ‘No’ to the above question about reserving a spot for the upcoming screening run, please send an email to getacrystal@buffalo.edu BEFORE submitting this form. Thanks!

Acknowledgement of NIH R24 Funding*

Please acknowledge the NIH R24 National Resource grant in any publications that result from screening at the National Crystallization Center. We suggest the following language: ‘Crystallization at the National Crystallization Center at UB HWI was supported through NIH grant R24GM141256.’ These citations help us to track publications and PDB depositions, an important metric of productivity that will help secure future funding for the National Crystallization Center.

I acknowledge that the NIH R24 Funding will be cited.

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Submission Date*

Please check the website for the reservation deadline, package acceptance and plate setup dates.

Sample Type*

Are you a new user?*

If you are a new user submitting multiple samples, please select ‘Yes’ for your first sample. After that, choose ‘No’ for the subsequent sample submissions. Thanks!

Yes

Contact Name*

First Last

Contact Email*

Enter Email Confirm Email

Is the contact the PI?*

Yes

PI Name

First Last

PI Email

Organization*

Department

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Phone*

NIH and/or NSF Funding?

Yes by NIH

Yes by NSF

If you are a NEW user please enter your password here.*

Once an ftp account is established for you, the same username and password will be used to access the images for all future proteins you send. Once your samples are set up for crystal screening, you will receive information regarding how to access your ftp account.

Please provide contact information for the person or office to whom we will send the invoice after the sample is set up.

Billing Information

Billing Contact Name*

First Last

Billing Email*

Billing Phone*

Billing Address*

Same as contact

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Sample Information

Required Information for All Samples

Please verify the sample is a non-toxic, non-hazardous, non-infectious biological sample intended for crystallization and for laboratory use only.*

Please initial.

Sample name (make unique for each sample)*

Sample source

Sample volume (μL)*

Protein concentration (mg/ml)*

Date purified*

Date shipped*

Buffer Components and Chemical Additives*

Chemical Name

Concentration

Units

To add more components, click on the + symbol on the right

Protein Solution pH*

Please enter a number from 0 to 14.

Molecular weight (Da)*

Subunit Information

Has tryptophans?*

Yes

Number of tryptophans

Recommended storage temperature (℃) for sample upon arrival*

Recommended thawing temperature (℃ if frozen)*

Temperature (℃) requested for plate incubation*

Please submit image of the gel (optional)

Max. file size: 2 MB.

Amino acid sequence*

Additional information/comments

Additional information for membrane protein samples

Class of membrane protein

Predicted number of transmembrane domains

Lipids added to the sample to aid crystallization

Unknown

Yes

Detergents used for solubilization

Chemical Name

Concentration

Units (enter % or mM)

To add more detergents, click on the + symbol on the right

Detergents used for purification

Chemical Name

Concentration

Units (enter % or mM)

To add more detergents, click on the + symbol on the right

Crystallization Sample Submission Form

NEW SUBMISSION FORM! Fill out this form after you have reserved a spot in the current screening run.

Payment method

Billing Information

Sample Information

Required Information for All Samples

Additional information for membrane protein samples

End of Form