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Name
Title
Organization
Street Address
Work Phone
Address (cont.)
E-mail
City
State/Province
Zip/Postal Code
Country
What is the reason for this quote request? Current Project-Immediate Need Future Project Grant Proposal Budgetary Estimate
What is the time frame for this work? Now 1-3 months 4-6 months 6 months- 1 year over 1 year (please make a selection)
Select plane to section tissue: Coronal Sagittal Horizontal Other
Other orientation:
What animal is used in the study? Rat Mouse Monkey Human Dog Other
Other animal:
Which tissue will be processed? Brain Spinal Cord Other
What thickness would you like the tissue to be cut? Default thickness 30 micron 35 micron 40 micron 50 micron Other
Other thickness:
Which Stain(s) would you like performed?
Alzheimer's (Campbell-Switzer)
Disintegrative Degeneration (Amino CuAg)
Immunohistochemistry (Antibody)
Thionine
H&E
Blood Brain Barrier Compromise
Reactive Microglia
Weil-Myelin
Ischemia Contrast (Stroke)
Perls/DAB
Autometallography
Another stain not listed
How many animals are in this study?
Do you require GLP for this study? Yes No
Would you like NSA to remove the brains? Yes No
Would you like image analysis or pathology performed? Yes No
Other requirements/requests:
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