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Contact Information:

Your Name (required)

Principle Investigator (if different)

Your Affiliation

Phone Number

Return Email

Experimental Details:

Species:

Number of Groups to be Analyzed:

Number of Subjects to be Analyzed:

Experimental Question:

Region(s) of Interest for Analysis:

Boundary Criteria for each Region of Interest (e.g. Bregma coordinates, Paxinos and Watson Atlas, etc.):

Histology Details:

 Not Yet Determined/Finalized

Microscopy Method:
 Brightfield Fluorescence

Cut Section Thickness:

Section Interval:

Type of Stain or Marker:

Comments: