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Biosafety Film Loan Request

Complete the order form below to order the title(s) you wish to borrow. A pull-down menu is available in each "Title" field, indicating all available titles. For producer and/or format information, refer to the following list. Please note that films will only be shipped within Canada and the United States. Also note that some titles are in very limited supply. All orders are first come, first served.

  1. Please use this form to expedite your film loan request.
  2. If you do not indicate a preferred date, we will ship the film as soon as it is available.
  3. Where applicable, please indicate which video cassette format is required.
  4. Be sure to complete the "SHIP TO" section below.
  5. Submit the form electronically or send completed form to:

    Office of Laboratory Security
    100 Colonnade Road, Loc. 6201A
    Ottawa, ON
    K1A 0K9
    fax: (613) 941-0596
Title #1:
Format: Preferred Date:
 
Title #2:
Format: Preferred Date:
 
Title #3:
Format: Preferred Date:


SHIP TO:
Name:
Institution/Company:
Title:
Address:
City:
Province / State:
Postal / Zip Code:
Country:
Telephone:
Fax:
E-Mail Address: