Please note the following:
 1. Orders will be ready for pickup within 24 hours.
 2. If mice are not picked up within 24 hours of their order, perdiem charges will start.
 3. Double check the order. All orders are final!
 4. Notify the colony if the End date changes after order has been placed.

Requestor Information
  Principal Investigator:
  End Date:
  Protocol Number:
  Requested By:
  Phone Number:
  Email:
  Box #:
  Account #:
  College:
  Department:

Order #1
  Strain Code:
  Age or Date of Birth:
  # Mice Required: females      males
  Inventory Cage # : location in the colony
  Planed Pickup Date: per diem charges start 24 hours after order
  Mice Disposition: Pickup Move to Experiment Room
Transfer to Animal Resources
  Additional Comments:

Order #2
  Strain Code:
  Age or Date of Birth:
  # Mice Required: females      males
  Inventory Cage # : location in the colony
  Planed Pickup Date: per diem charges start 24 hours after order
  Mice Disposition: Pickup Move to Experiment Room
Transfer to Animal Resources
  Additional Comments:

Order #3
  Strain Code:
  Age or Date of Birth:
  # Mice Required: females      males
  Inventory Cage # : location in the colony
  Planed Pickup Date: per diem charges start 24 hours after order
  Mice Disposition: Pickup Move to Experiment Room
Transfer to Animal Resources
  Additional Comments:

Order #4
  Strain Code:
  Age or Date of Birth:
  # Mice Required: females      males
  Inventory Cage # : location in the colony
  Planed Pickup Date: per diem charges start 24 hours after order
  Mice Disposition: Pickup Move to Experiment Room
Transfer to Animal Resources
  Additional Comments:

Order #5
  Strain Code:
  Age or Date of Birth:
  # Mice Required: females      males
  Inventory Cage # : location in the colony
  Planed Pickup Date: per diem charges start 24 hours after order
  Mice Disposition: Pickup Move to Experiment Room
Transfer to Animal Resources
  Additional Comments:

 

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updated:

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