This form is for animal orders only. If you would like a quote for an animal order please fill out the AVS Request for Quotation form and submit to avsofc@hawaii.edu.

Animal Order Form

PROTOCOL INFORMATION

PI First Name

PI Last Name

Department

IACUC Protocol Number

IBC Protocol Number if ordering IBC covered strains or "N/A"

PI phone

PI fax

PI email

ORDER CONTACT INFORMATION

First name

Last name

Phone

Fax

Email

FISCAL ADMINISTRATOR INFORMATION

FA code (optional)

FA first name

FA last name

FA phone

FA email

ANIMAL ORDER 1

Number of animals

Vendor

Species

Strain
*to avoid delays, use the exact strain nomenclature that appears on your approved IACUC/IBC protocols

Vendor stock number

Is this strain a transgenic or knockout?

Gender

Weight/Age of animals

Facility

Number of animals per cage

Requested arrival week (please select the Monday of desired week) mm/dd/yyyy

Special requirements

ANIMAL ORDER 2

ANIMAL ORDER 2

ANIMAL ORDER 3

ANIMAL ORDER 3

ANIMAL ORDER 4

ANIMAL ORDER 4

I certify that I am aware of the AVS Fiscal Office deadline for placing orders and the policy on scheduling deliveries for holiday weeks as stated on the AVS website. I am also aware and acknowledge that by placing the order, AVS will be charging an animal order fee.
I confirm that I have reviewed this form for completeness and accuracy.