• This form is used to request submission materials online
  • You can also use the PDF form which can downloaded and included with your submission or faxed to our office: Download Form
Please select the items you need and indicate your current on-hand supplies:

    Supplies Available

    Charge per item

    Number requested

    60 ml formalin filled jars

    $2.25

    120 ml formalin filled jars

    $2.50

    Small cardboard box

    No charge

    Large cardboard box

    No charge

    Small postage paid mailer

    $7.00

    Large postage paid mailer

    $8.00

    * A single zip-lock submission bag with pouch for paperwork is included with each formalin filled container
    * The number of supplies requested will be limited to the those that fit in one shipping box unless otherwise specified
    * The cost of shipping supplies will be added to each order