Cryopreservation Request


* = Required fields
* Strain name:
Researcher details
* First name:
* Surname:
* Email:
Phone:
Contact details

Emails will be sent to the main contact person. Alternate contact persons will be CC'ed

 Same as Researcher details
* First name:
* Surname:
* Email:
Phone:
Add alternate contact person
Animal Facility (where the strain is housed)
Are these mice housed within the
Hugh Ennor Building (ANU Bioscience Services)?
Yes    No    Unknown   
* Name of facility:
Person responsible for packing and shipment of mice
 Same as Researcher details
* First name:
* Surname:
* Email:
* Phone:
*General mouse details
*Is this strain Genetically Modified as defined by the OGTR? Yes     No
Animal ethics approval number:
If you require extra samples to be taken (eg. liver or tail) it can be requested by emailing phenbank@anu.edu.au
*Mouse details

Please list younger mice first

Mouse ID Generation Date of Birth
(dd/mm/yyyy)
Genotype Coat
Colour
Additional details






























Additional details:
Costs
Basic Cryopreservation Cost Review costs
IVF Test (optional) Yes ($ Review costs )     No ($ 0)
Billing details
* First name:
* Surname:
* Postal Address:

To avoid issues with invoicing please use the address acceptable to your finance department


* Email:
* Phone:

 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.

* Please note your samples will either be processed at Monash or ANU.

* Should the APB be no longer able to provide storage of your cryopreserved samples, APB staff will attempt to contact you to offer to return the samples to you. If the APB is unable to contact you or you do not reply within the allocated time frame, the samples will be destroyed by incineration

Build: 2017.09.11 Non-profit supported by the Australian government  |  © Copyright 2017 Australian Phenomics Facility Last updated: 22/09/2017