University at Buffalo Hauptman-Woodward Research Institute
  • ABOUT US
    • Mission and Vision
    • Overview and History
    • Institute Leadership
    • Nobel Laureate Herbert Hauptman
    • Careers at the Institute
    • Young Professionals Program
    • UB-HWI Faculty and Staff Directory
    • Contact Us
  • SCIENCE
    • Publications
    • Institute Research Facilities
    • The National Crystallization Center
    • The Cryo-Electron Microscopy Center
    • Synchrotron Beamline
    • Structural Biology Resources
  • RESEARCH SERVICES
    • Cryo-Electron Microscope Services
    • The National Crystallization Center
    • Synchrotron Services
    • Structural Biology Resources
  • EDUCATION
    • High School
    • Undergraduate
    • NSF BioXFEL Internships
    • Graduate
    • Postdoctoral
  • NEWS
    • HWI News
    • Structures Magazine
    • Media Resources and Guidelines
  • EVENTS
    • Brewing Science
    • BioXFEL Spring Symposium
    • Tour Information
  • Give
    • Donate Now
    • Hauptman Society
    • Planned Gifts
    • Volunteer your time and expertise
    • Your Philanthropy at Work
      • Cryo-EM
      • Cryo-EM Energy Solution
      • Cryo-EM FAQs
      • Cryo-EM Lecture
Select Page

"*" indicates required fields

Step 1 of 5

20%

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 htslab@hwi.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 run?*
Please note the reservation deadline, package acceptance dates and plate setup dates are available on the website.
If you answered 'No' to the above question about reserving a spot for the upcoming screening run, please send an email to htslab@hwi.buffalo.edu BEFORE submitting this form. Thanks!
This field is hidden when viewing the form
Please check the website for the reservation deadline, package acceptance and plate setup dates.
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!
Contact Name*
Contact Email*
Is the contact the PI?*
PI Name
Address*
NIH and or NSF Funding?
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 refer to National Crystallization Center Policies and User Fees for full description and explanation of user fees.

Payment method

If purchase order is not yet available, please indicate that in the field.
Do you need a quote for the Purchase Order?
Indicate if you require a quote for the PO. Billing information and address can be entered on the next page.
Please insert the subscription ID.
We will contact you for your credit card information.

Billing Information

Billing Contact Name*
Billing Address*

Billing Information

Internal HWI

Billing Information

Subscription

Sample Information

Required Information for All Samples

Please initial.
YYYY dash MM dash DD
YYYY dash MM dash DD
Buffer Components and Chemical Additives*
Chemical Name
Concentration
Units
 
To add more components, click on the + symbol on the right
Please enter a number from 0 to 14.
Subunit Information
Has tryptophans?*
Max. file size: 2 MB.

Additional information for membrane protein samples

Lipids added to the sample to aid crystallization
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

End of Form

Connect with us

  • Follow
  • Follow
  • Follow
  • Follow

Inside UB-HWI

Explore our Magazine “Structures”

Giving

Help us develop the cures for tomorrow

E-NewS

Join our mailing list

  • News
  • Events
  • Donations
  • Careers
  • Schedule a Tour
  • Institute Leadership

700 Ellicott Street
Buffalo, New York 14203-1102

Phone: 716-898-8600
Fax:      716-898-8660

© 2025 University at Buffalo Hauptman-Woodward Research Institute. All Rights Reserved.