Shipping Instructions

Supplies Order Form

All yellow highlighted fields are required.

Requestor Information
Sponsor: Contact Name:
Protocol Number: Phone Number:
Site Number: Fax Number:
Investigator Name: Email:
Date Supplies Needed: Confirm Email:


Standard Delivery: Delivery within five (5) business days of the Order Date.
Expedited Delivery: Expedited orders may be subject to additonal shipping fees and may require Sponsor approval prior to shipment.

Kits

Please enter the kit name as it appears in the laboratory manual or on the label of the kit itself.

Kit Name Quantity

Shipping Supplies

Collection Supplies

Description Quantity
Description Type/Color Quantity
Frozen Shippers   Collection Tubes
Transport Bags   Collection Tubes
Absorbent Sheets   Collection Tubes
FedEx Airbills   Cryovials
  Cryovials
  Cryovials
  Cryovials

Other Supplies

Please describe any additional items you may need.
 

Comments

 
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