Research Models Evaluation Request Form

Thank you for your interest in Charles River Research Models. To expedite your request, please complete the form below and we will contact you as soon as possible:


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How did you hear about our program?

Yes, I would like to receive email communications from Charles River and allow for my information to be used for any follow-up requests to identify potential products or services relevant to my needs.	I agree.

To quickly expedite your request, please complete the form below and we will contact you as quickly as possible.
Please indicate the following:
Are you a current Charles River customer?
What is your interest in evaluating these models?

Do you have an estimated date as to when you will require these models ?
What would you like to evaluate?

Which species would you like to evaluate?
Which strain/stock of animal would you like to evaluate?	Show just the Disease Models
What surgical procedure would you like to evalute**?
** Certain restrictions may apply based on quantity, stock, strain or procedure requested.
Select the surgical procedure
What Biospecimen would you like to evaluate?
Select the Biospecimen

Additional Comments: