Create user account for animal orders

If you order animals from one of the approved vendors you should state both Department account number and supplier customer number on the order form.

Animal orders are always handled by the Departments animal units. Please contact one of the units for more information.

(Required fields marked with * must be completed correctly, otherwise the request will not be processed.)

Fields marked with * are required.

Form to create account

First name(s): *

Surname: *

E-mail: *

Position: *

License no.:

Account no. at the Department:

Fill out only if researcher already has an account at the Department

Housing location for the Animals:

Department/company where you have your main place of employment: *

Affiliation affects the degree of faculty subsidization

Department/company: *

Not private address

Address line 1: *

Address line 2:

Address line 3:

Zip code: *

City: *

EAN no.:

Mandatory for public institutions and some private companies

Part AE no. / place no. / other:

VAT identification number: *

Production unit code - Only Danish institutions/companies:

Production unit code represents the place where a company operates from

Own internal accounting no.:

Phone: *

E-mail: *

Comments:

Names and e-mails on persons who are allowed to order services on your account number

Name:

E-mail:

Name:

E-mail:

Name:

E-mail:

Name:

E-mail:

Name:

E-mail:

Department of Experimental Medicine