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Full Name*
Email Address*
Street Address*
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When would you like to receive your tissue?
Organization*
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Mouse or Rat Sample?
Mouse
Rat
Which type of fresh CNS tissue would you like to receive?
Cortex
Hippocampus
Striatum
Midbrain
Dorsal Root Ganglion (DRG)
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Product Form (TIS) | Transnetyx