Pocono Rabbit Farm and Laboratory Inc.

CONTACT AND SHIPPING ADDRESS
(This individual will receive Shipments and all notices)
Project Contact:
Principal Investigator:
Institution:
Address:
Address2:
City:
State/Province:
Zip Code:
Country:
Telephone:
Fax:
*E-Mail
*This E-Mail Address will be used for shipment notification

ADDRESS WHERE INVOICES ARE TO BE SENT
(if different from shipping address; PRF&L invoices monthly.)
Institution:
Attention:
Address:
Address2:
City:
State/Province:
Zip Code:
Country:

BILLING CONTACT INFO
**Billing Contact Name:
Phone:
Fax:
E-Mail
**Usually someone in the Accounts Payable Department Please Note: PI is responsible for ensuring that the invoices are paid.


SEND INVOICES BY Postal Mail and/or E-Mail Please note any additional contact, shipping, and/or billing considerations in a cover letter attached to this form.

PURCHASING INFORMATION
Method of Payment:

Credit Card Number :				Exp Date :

Name As It Appears On The Card :


Purchase Order :

PO Amount :

Effective PO Dates :

By checking this box, you're giving PRF&L approval to use this card.

The Pocono Rabbit Farm & Laboratory Inc. Animal Care and Use Committee approves all protocols performed at our facility involving the use of animals. Upon request, we will send you, the Project Sponsor, an Animal Protocol Approval Letter. Also upon request, we can forward copies to your IACUC or funding agency via mail, fax, or email. If your IACUC or funding agency requires that the funding agency name and grant number appear on the Animal Protocol Approval Letter, please indicate below. Also, indicate where and how (mail, fax, or email) we should forward your approval letter. If there are any questions about this process, feel free to contact us.

No Animal Protocol Approval Letter is required.
An Animal Protocol Approval Letter is required and here is the address, grant number, and forwarding instructions:

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