JAX® Mice order request form

To move from field to field, use the TAB key. Do not close your web browser until you have submitted your order: changes or updates may be lost.

A JAX Customer Service representative will process your order and contact you if anything needs to be clarified.

Call us toll free: 1-800-288-5845 (US, Canada & Puerto Rico) or 1-207-288-5845 (from any location)Note: Unless otherwise noted, all fields below are required.
If you are already a JAX customer, please proceed by entering your customer account number and order information.
If you are a first time customer or do not know your customer account number, please contact Customer Service for help by using our quick and easy web form, or by calling 1-800-422-6423 (US, Canada & Puerto Rico) or 1-207-288-5845 (from any location) to establish your account.

Enter mouse strain information for your order

Available genotypes and age ranges (in weeks) can be found on the strain data sheet.

Stock # Strain description Individual or pairs? Sex Genotype Age range (wks) Qty. Request ship date  

If there are not enough mice of desired sex, will you accept mixed sexes to expedite your order?

Will you accept a different age range if it will expedite your order?

Would you like to discuss a standing order?

Shipping address

Principal investigator name


Billing address



Contact Information

Billing information

Placing an order with a new card?

To place an order using a new credit card, please contact Customer Service at 1-800-422-6423 or 1-207-288-5845