Information Request Form

Contact Information

Name

Title  

Agency or Company Name

Address

City  

State Zip

Telephone   Fax *Email

Study Information

Species
Size of animals to be tagged  
Number of animals to be tagged 
Can the animal be sacrificed to retrieve the code?  Yes No Not determined

Coding Batch Individual Not determined

Please send me information about

Decimal Coded Wire Tags ^TM

VI Alpha Tags

VI Elastomer Tags

Please recommend a tag

Additional project details  (purpose, sampling methods, field or lab study, etc.)

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