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

Home Contact Us Stony Brook University Give

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

CAPTCHA

What code is in the image?

Enter the characters shown in the image.