Ship samples to: 6918 Ridge Rd. Rosedale, MD 21237
Name of Institution:
Name of Principal Investigator:
Name of Contact Person:
Address:
Phone/Email:
Purchase Order #:
Return Shipping Information:
Tissue Type:
Fixative:
# of Microns:
SpecialInstructions:
# of Unstain Slides:
Slide Type: › Regular › Plus
# of H&E Slides:
Please list all specimens and give specific instructions:
