ࡱ > a c ` 5@ 0 bjbj22 (L X X j % r r r r r r r 8 H $ l &= L P " r r r M M M < < < < < < < $ > < r $ M M $ $ < r r r r < Z Z Z $ X r r r r < Z $ < Z $ Z ~ 6 r r 8 r @ ~36 | X ]7 !: < 0 &= w7 A v A 4 8 r r r r A r 8 ( M L 6 Z , ) M M M < < , J , Form # IACUC 002/05
American University of Beirut
Animal Care Facility
ANIMAL ORDER FORM
To be submitted 3 months prior to the date animals are required.
To be completed by PI / authorized personnel:
PI:
Dept:
Email:
Phone: Beeper:
0rder submitted by:
Date Order submitted:
Animal(s) for :
O Research O Teaching
O Testing O Training
Date Animals
are required:
Protocol #:
Protocol Expiration Date:
Account # to be charged:
Information on requested animals:
# animals
Gender
Species/
strain
Weight/
age
Special conditions-if any
other
To be completed by ACF Staff:
Number of authorized animals in protocol:
Number of animals already delivered:
Date Animal Order Form Received:
Date Animals are due:
Information on requested animals:
# animals requested
Gender
Species/
strain
Weight/
age
Special conditions-if any
other
Signature:
PAGE
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