Establish an account to order JAX® Mice & Services

To establish an account to order only JAX® Services or other products (e.g. shipping containers, biospeciments, etc), please use our Account setup form for JAX® Services and Other Products.

The information requested is required to ensure that JAX® Mice are shipped to and used by organizations that have the appropriate staff and housing to care for these animals. Forms submitted with shipping addressees to countries in Europe or Asia will be shared with Affiliates serving as JAX® Mice distributors in those countries. The Jackson Laboratory and its Affiliates will treat the information as confidential.

* denotes required fields

Purchasing and End-User Information

Purchasing Contact Information:
Salutation Dr.   Ms.   Mr.   Prof.
* First Name
Middle Name
* Last Name
Suffix
* Title
* Telephone
* Fax
* E-mail
 
End-User Contact Information:

End-User is the person using JAX® Mice & Services.

Same as Purchasing information
Salutation Dr.   Ms.   Mr.   Prof.
* First Name
Middle Name
* Last Name
Suffix
* Title
* Telephone
* Fax
* Email
Organization web site
 

Billing Information

* Organization Type For Profit
Not-for-profit  [Tax Exempt ID:  ]
* Organization Name
Department/Building
* Street Address
 
* City
* State/Province
* Country
* Zip/Postal Code
 

Shipping Information

Same as Billing Information
* Organization Name
Department/Building
* Street Address
 
* City
* State/Province
* Country
* Zip/Postal Code

Product Use Information

*1. Please provide a short description of your research area:

 

*2. Please indicate which items the End-User Organization will be using (check all that apply):

JAX® Mice
JAX® Services
JAX® Mice tissues, organs, or other biospecimens
Embryos from JAX® Mice

*3. Do you plan to breed or crossbreed JAX® Mice? Yes   No

*4. Will JAX® Mice be housed in your own facilities? Yes   No

If "no", please provide the name of the entity which will house JAX® Mice:

*5. Are you using JAX® Mice to provide products or services to another organization?

Yes    No
If "yes", please describe:

*6. Do you have an Institutional Animal Care and Use Committee? Yes    No

*7. How are your animal care procedures monitored?

 

*8. Please provide information about the Veterinarian who will be responsible for animal care and welfare oversight:

* denotes required fields

* Name:
* Qualification: DVM    Other  
* Address:
License No.
* Telephone
Fax
* Email

Agreement to Conditions of Use and General Terms

"Each recipient institution, including its employees and other researchers under its control (RECIPIENT), of mice or services using mice from The Jackson Laboratory (TJL) agrees that such mice, descendants of those mice derived by inbreeding or crossbreeding, including unmodified derivatives of those mice or their descendants ("MICE") shall not be: (i) used for any purpose other than the internal research of the RECIPIENT, (ii) sold or otherwise provided to any third party for any use, or (iii) provided to any agent or other third party to provide breeding or other services with respect to MICE. Acceptance of MICE from TJL shall be deemed agreement by RECIPIENT to these conditions, and departure from these conditions requires TJL's prior written authorization."

In case of dissatisfaction with any product or services for a valid reason, liability will be limited, at the option of The Jackson Laboratory, to replacement or credit for the product received or the services provided. Credit or replacement shall be the exclusive remedy of the buyer and The Jackson Laboratory makes no other representations.

MICE, PRODUCTS AND SERVICES ARE PROVIDED "AS IS". THE LABORATORY EXTENDS NO WARRANTIES OF ANY KIND, EITHER EXPRESS, IMPLIED, OR STATUTORY, WITH RESPECT TO PRODUCTS OR SERVICES, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, OR ANY WARRANTY OF NON-INFRINGEMENT OF ANY PATENT, TRADEMARK, OR OTHER INTELLECTUAL PROPERTY RIGHTS.

*  I agree to the above "Conditions of use and General Terms" and attest that the information submitted in this form is accurate and true.

* My name:    
* Position:
Please include the name or title of the position of the person agreeing to these "Conditions of Use and General Terms." This person should hold a position of authority within the organization.
* Affiliation/Organization: