EMMA Strain Interest Registration Form

Dear Scientist

Please use the following form to indicate your interest in ordering EMMA strains which are currently under development and not yet available.

Please complete all fields. Required information is marked by a * Click once on the Send button at the end of this form to submit your information to EMMA. You will receive an email notification as soon as the strain becomes available and be able to place your strain request in time.

Thank you for your interest in the European Mouse Mutant Archive.

Requested strain:

EMMA ID

Strain name

Common name(s)

Material you intend to request: *

Requesting frozen sperm or embryos is generally advisable wherever possible, in order to minimise the shipment of live mice.

Live Animals

Frozen Material

First available

PLEASE NOTE THAT EMMA CANNOT GUARANTEE THAT THIS EMMA STRAIN (OR A CERTAIN TYPE OF MATERIAL) WILL BE MADE AVAILABLE. THE POSSIBLE SHIPPING DATE CANNOT BE SCHEDULED WHILE THE STRAIN IS STILL UNDER DEVELOPMENT.

Recipient principal investigator

Scientist's Title

Firstname *

Surname *

Institutional e-mail *

Phone *

Fax

Shipping contact (animal facility manager etc.)

Shipping Contact's Title

Firstname *

Surname *

Institutional e-mail *

Phone *

Fax

Institution *

Department

Address line 1 *

Address line 2

County/Province

Town *

Postcode *

Country *

Have you selected this line because you are interested in the phenotype data presented on the:

International Mouse Phenotyping Consortium website? Yes No

Please read and be aware of the conditions and associated shipping costs. These will have to be agreed to, when you finally place an order for the mice.
By checking this box I confirm I have read and understood, and agree to the data privacy statement.

(Click on the "Send" button once to submit the form to EMMA.)