Teklad Diets and Bedding Order Initiation Form

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Please fill out this Order Initiation Form in its entirety and click initiate order. Upon receipt of your order initiation, Teklad Customer Service will begin to process your request. A Teklad Customer Service Representative may contact you to gather any additional details required to place and complete your order.

If you would like to speak with a Teklad Customer Service Representative, please call 800-483-5523.

Order Information

Product Type:
Product Subtype:
Product Subtype:
Product Code:
(Product Code - Description - Size)

If you don't find the product you are looking for, please contact us for assistance.

Quantity:

Do you know your specific product codes?

Before placing your order, please contact our Nutritionists to receive your product number: askanutritionist@harlan.com.

Product Code:
Quantity (Kgs):
Diet Form:

Irradiation and Special Packaging will NOT be included unless they are ordered here.

Vacuum Packed:
Irradiated:

Some custom research diets require the customer to send us one or more ingredients. If you know it applies to this order and you have not already sent an ingredient submission form, please complete your order and then fill out the following form.

Customer Supplied Ingredient Submission Form
(Opens in New Window)

Custom research diets are made fresh to order and therefore require a lead time of up to 4 weeks for irradiated and 2 weeks for non-irradiated diets.


Principal Investigator or End User Name:
(Person responsible for research related to diet)
Ingredient Name:
Amount Sent:
Working With:
General Comments
and/or Special Requests:

Current Shopping Cart

Type Subtype Code Qty Vacuum Irradiation Form Remove

Contact Information

*First Name: *Last Name:
Title: Department:
*Email: *Telephone:
*Region:

Billing and Payment Information

Bill To Number:
(If known, can be found on past invoice)
*Organization: Attn:
*Street Address: Street Address Line 2:
*City: *Postal/Zip:
*State:
* Province:
* Country:
* Country:

Are you an existing customer or a new customer?

In order to expedite the processing of your request, please provide the following info to allow us to adequately identify your account. Payment will not be processed until you authorize placement of the order. If you have a new credit card you would like to use, please provide it when contacted to confirm your order.

Purchase Order #:
Card Type:
Last 4 Digits of Card:

As a new customer, you are not required to give any payment information at this time. A Teklad representative will contact you after reviewing your order to confirm order details and collect payment information. If you have any questions, please contact us here.

Shipping Information

Natural Ingredient Diets and Bedding and Enrichment Products typically ship via ground service within one week. Custom Diets typically ship via ground service within two to four weeks.


Comments:

Ship To Number:
(If known, can be found on past invoice)

Region:
Organization: Attn:
Ship To Address: Ship To Address Line 2:
Ship To City: Ship To Postal/Zip:
State:
* Province:
* Country:
* Country:
I have read and agree with the Harlan Warranty Information (Click to Read)


Upon receipt of your order initiation, Teklad Customer Service will begin to process your request. A Teklad Customer Service Representative may contact you to gather any additional details required to place and complete your order.

* Denotes a required field