JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Tian Lab Sensor Request Form
Thank you for your interest in our sensors!
Published plasmids and viruses are available from
Addgene
.
For requests regarding our latest sensors under development, please complete this form or contact
Julie.Chouinard@mpfi.org
,
Lab Research Supervisor,
with questions.
After you complete the form, Dr. Chouinard will be in touch to coordinate sensor shipment.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email
*
Your answer
PI or Group Leader Name
*
Your answer
Which sensor(s) are you interested in?
*
For example: dopamine, serotonin, red glutamate
Your answer
Shipping Address
Please include any building numbers or box codes required to make sure the shipment reaches you!
Example: One Max Planck Way, Jupiter, FL 33458, USA
Your answer
Shipping phone number
Your answer
Brain region(s) of interest
Your answer
Is there anything else you would like us to know?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms