Ordering Animals

Animal Order Form

Please subit IDO or RCUH Purchase Order via email to lasofc@hawaii.edu immediately following submission of this form. Your order cannot be processed without a copy of your IDO or RCUH Purchase Order.

Protocol/Contact Information

Date: IDO/PO Number:

PI Name:

Department: Protocol Number:

PI Phone: PI Fax:

PI email:

Order Contact Name: Order Contact Phone:

Order Contact Fax: Order Contact email:

Animal Order 1

Number of Animals:

Vendor:

Species:

Strain: Vendor Stock Number:

Is this Strain a Transgenic or Knockout?

Gender:

Weight or Age of Animals:

Facility

Numbers of Animals Per Cage:

Requested Arrival Week (please note Monday's Date):

Special Requirements:

Animal Order 2

Number of Animals:

Vendor:

Species:

Strain: Vendor Stock Number:

Is this Strain a Transgenic or Knockout?

Gender:

Weight or Age of Animals:

Facility

Numbers of Animals Per Cage:

Requested Arrival Week (please note Monday's Date):

Special Requirements:

Animal Order 3

Number of Animals:

Vendor:

Species:

Strain: Vendor Stock Number:

Is this Strain a Transgenic or Knockout?

Gender:

Weight or Age of Animals:

Facility

Numbers of Animals Per Cage:

Requested Arrival Week (please note Monday's Date):

Special Requirements:

Animal Order 4

Number of Animals:

Vendor:

Species:

Strain: Vendor Stock Number:

Is this Strain a Transgenic or Knockout?

Gender:

Weight or Age of Animals:

Facility

Numbers of Animals Per Cage:

Requested Arrival Week (please note Monday's Date):

Special Requirements:

Please review the form for completeness before submitting.