Tufts Core Facility
Physiology Department
136 Harrison Ave.
Stearns 808
617 636-2416

  Login Information         * Required Fields.
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Password   *
Re-Type Password   *
   
First Name   *
Last Name   *
Email Address   *
           
Guidelines
Fill in the following Contact fields:
Tufts Users   Affiliation, PI, Phone, Email.
NEMC Users   Affiliation, PI, Phone, Email, Dept, Box.
Other Users   Complete Bill-to and Ship-to

  Affiliation
Select the Affiliation Type then PI before filling in Contact Info.
Affiliation *
PI     (Name of the Senior Researcher for your lab or project)
Select Your PI from the List.

If the PI is not listed,
Select the Checkbox,
then enter the PI name.

Select if PI is not listed

Contact Information
Billing Information (Accounts Payable)
Name *
Institution *
Dept. *
Address *
Address 2 Box *
City *
State or Country *
Zip *
Phone * Ext.
Fax  
Email *
Shipping Information
Name
Institution
Dept.
Address 1
Address 2
City
State or Country
Zip
Phone Ext.
Fax
Email


     

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