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Submission Form for Sperm Cryopreservation

C.B. Gurumurthy, Ph.D.
Mouse Genome Engineering Core Director


All fields are required.

Lab Information

Principal Investigator: 



Contact Person:



Person/Dept Billing should be directed:

Cost/Center Number:

Are these mice pathogene free: Yes No

Mouse Line to be Cryopreserved:

Strain of Mice to be Cryopreserved: C57B1/6 FVB 129 CD-1 Other

How do you want these labeled for cryo storage (4-6 characters long):

Number of Males: Age: Months or weeks?

The Core Facility requests 2 proven breeder males, 12-24 weeks of age.

Present location of animals:

The Core will obtain Health report from Comparative Medicine.

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into the space below.

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