Research models and services order initiation form

Please fill out this order initiation form in its entirety and click initiate order. 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 an order, please call 800-793-7287. *Denotes a required field.

Order information

*Are you initiating a new order?

Yes

No, I would like to request a quote

*Are you an existing customer or a new customer?

Existing

No, I am a new customer

Purchase order #:
(If known)

Card type:

Last four digits of card:

*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/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

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.

By clicking submit below, you consent to allow Inotiv to store and process the personal information submitted above.

Please see our privacy policy for more details.

Research models and services order initiation form

Order information

Account information

Contact/shipping information

Shipping address

Shopping cart