DLAR Animal Shipping Request Form | Renaissance School of Medicine at Stony Brook University

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Do you have an MTA for this shipment

Yes

SBU Investigator

SBU Department

SBU Lab Contact:

SBU Lab Contact Phone #

SBU Lab Contact Fax #

SBU Lab Contact E-mail:

SBU Protocol #

# Females

# Males

Species

Special Needs

Strain/tg/KO

Current DLAR facility:

Room

OTHER PI:

Other Institution:

Other PI department

Other Vet

Other Vet e-mail:

Other Vet Fax:

Other Shipment Contact:

Other Ship Contact Phone #:

Other Lab Contact:

Other Lab Contact Phone#

Other Lab Contact E-mail#

IMPORT or EXPORT

Import

Export

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