Home - Australian Phenome Bank

Assisted Reproduction Request

* = Required fields

* Strain name:

Researcher details
* First name:
* Surname:
* Email:
Phone:
* Institution:

Contact details
Same as Researcher details
* First name:
* Surname:
* Email: Emails will be sent to the main contact person. Alternate contact persons will be CC'ed
Phone:
Add alternate contact person

* Researcher Institutional Ethics Protocol Number:
* Researcher NLRD:
* Background of oocyte donor to be used:	Other:

Delivery details
* Where would you like the mice to be sent?	APF Other
Animal Facility
* Facility name:
Facility manager details
* First name:
* Surname:
* Email:
* Phone:
* Shipping address:
Colony management
* Breeding plan (estimate of #breeders, #stock):
* Breeding regime (eg. Het x Het):
* Observables to be added:
* Breeding management:
Genotyping
* Collection method (e.g. ear punch):
* Frequency (e.g. Continual maintenance Breeding maintenance):
Billing
* Rodentity project (must match exactly): Check on Rodentity home page after logging in for project names.
Same as Researcher details
* First name:
* Surname:
* PO Number: of finance department
* Postal Address: To avoid issues with invoicing please use the address acceptable to your finance department
* Investigator email:
* Institution accounts payable email:
* Phone:
Other
Additional details:
Terms and Conditions * I acknowledge I will receive an invoice for this work from ANU finance department and will pay within 30 days of receipt. * I understand that health screening of recipient females is mandatory for all strains and that I am responsible for the associated costs. Health screens will be conducted by a third party chosen by the Australian Phenomics Facility. * I understand that if health testing is required that I am responsible for the associated costs

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