Research models and services sample request initiation form

Please fill out this sample request initiation form in its entirety and click "Submit my sample request." Upon receipt of your order initiation, Inotiv client service will begin to process your request. An Inotiv client service representative will contact you to gather all additional details required to place and complete your order.

If you would like to initiate a large model order or have an inquiry, please click here.

If you would like to change or cancel a sample request, please email CSDorders@inotivco.com. *Denotes a required field.

Order information

*Are you an existing customer or a new customer?

Existing

No, I am a new customer

Maybe, I don't remember

*PI (researcher) name:

Instructions:

*Requested delivery date: Date requested will be reviewed for availability on standard delivery routes.
New customers, please allow additional 5-7 days for account set-up.

Contact and shipping information

Shipping Account #:
(If known)

*First name:

*Last name:

Title:

Department:

*Email:

*Telephone:

*Company:

*Street address:

Street address 2:

*City:

*Postal/zip:

*State:

* Country:

Use different shipping address

Alternate shipping address

*Region:

Ship to facility:

Ship to address:

Ship to address line 2:

Ship to city:

Ship to postal/zip:

*State:

* Province:

* Country:

Shopping cart

Select a product, complete the required specifications and then add to cart.

Product species:

Product model:

(Product Type - Nomenclature - Product Code)

Add surgical modifications:

Surgical comments:

I have read and agree with the general terms and conditions of sale. Click to read.

Additional order details will be gathered during order confirmation. Sample qualification required by Inotiv representative. Valid for new clients who have not ordered the requested model during the previous six months. Subject to current model availability. Promotion excludes filtered containers and (air) freight charges. Offer valid until December 31st, 2024.

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Research models and services sample request initiation form

Order information

Account information

Contact and shipping information

Alternate shipping address

Shopping cart