Material Request

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Material Request

Request for saliva collection materials

Principal investigator (PI)

Last name
First name

PI Email
Telephone

Project Coordinator

Project name
Project start date YYYY-MM-DD
Coordinator email
University / Business
Work phone
Cel
Project address City Province Postal Code Country

Supplies

	Analysis 1	Analysis 2
5ml COLLECTION TUBES: Used for passive drool. Tubes can be used alone or with straws (below)
STRAWS: (Each straw to be cut into 3 pieces.1 straw per 3 tubes) Use to ease saliva into 5ml or 2ml tubes
2ml COLLECTION TUBES: Use alone, with straw or saliva collection device. This tube is good for long term storage
SALIVA COLLECTION DEVICE: Fits into top of 2ml tube to ease saliva into tube and reduce bubbles
LABELS(Sold per sheet): Freezer safe. 95 labels per sheet for laser printer. To be used on 2ml and 5ml tubes
RESEALABLE BAGS(5x8in): Each bag can fit up to 25x5ml tubes or 50x2ml tubes
RESEALABLE BAGS(9x12in): Each bag can fit up to 5 days tube collection
SALIVETTE Sarstedt: 51.1534.500 for salivary cortisol
CHILDREN'S SWAB - To be used with Salivette when collecting saliva from very young children. *Important: SALIVETTE - Sarstedt must be purchased separately to be used with the Children's Swab.

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Once this form has been submitted you will receive a quotation for the materials requested. Please read the conditions on the form and then sign and return it. Only when a signed agreement has been received will the materials be released.