New Customer Application

This form is to be completed by companies/institutions who wish to purchase products and services from Taconic Biosciences. There are four major components: animal welfare information, company/institution information, shipping information, and billing information. All required fields are marked with a red asterisk *

1 Animal Welfare Information

Do you plan to order:

tissue collections, feces, TTCs, cryopreservation services

including Custom Model Generation and Colony Management Solutions
If you are planning to design or breed your animal model with Taconic, but have not yet selected a CRO for shipment of live animals, please select that you plan to order "Products" and your Taconic account will be setup without live animal shipment options until you have selected a CRO and provide Veterinarian contact information.

2 Company or Institution Information

3 Shipping Address Information

Is the Shipping information the same as the Company/Institution information?

Add an additional shipping contact? +-

4 Billing Address Information

Is the Billing information the same as the Shipping information?

Is the Billing information the same as the Company/Institution information?

(If yes, please provide document as a pdf, txt, or doc file no greater than 5mb in size)

***Payment terms will be confirmed following review by Taconic's Finance Team***

Taconic needs the contact information you provide in this form to respond to your request.
For details please see our Privacy Policy.

Customs Broker Information


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