PANIGEN

Protocols and Ordering



Company Name:

Number of animals:

Amount of antigen:

Number of doses:

Name of antigen:

Methods: (check as many as needed)

ID (interdermal)
SC (subcutaneous)
IV (intravenous)

Animal:

Goat
Sheep
Chicken
Rabbit
Other

Proposed Schedule:

Schedule Day

Immunization Protocol Instructions
Please type in boxes below

Day 0
WEEK 1

Immunization Protocol Instructions for day 0:

Day 7
WEEK 2

Immunization Protocol Instructions for day 7:

Day 14
WEEK 3

Immunization Protocol Instructions for day 14:

Day 21
WEEK 4

Immunization Protocol Instructions for day 21:

Day 28
WEEK 5

Immunization Protocol Instructions for day 28:

Day 35
WEEK 6

Immunization Protocol Instructions for day 35:

Day 42
WEEK 7

Immunization Protocol Instructions for day 42:

Day 49
WEEK 8

Immunization Protocol Instructions for day 49:

Day 56
WEEK 9

Immunization Protocol Instructions for day 56:

Day 63
WEEK 10

Immunization Protocol Instructions for day 63:

Day 70
WEEK 11

Immunization Protocol Instructions for day 70:

Day 77
WEEK 12

Immunization Protocol Instructions for day 77:

Day 84
WEEK 13

Immunization Protocol Instructions for day 84:

Day 91
WEEK 14

Immunization Protocol Instructions for day 91:

Day 98
WEEK 15

Immunization Protocol Instructions for day 98:

Day 105
WEEK 16

Immunization Protocol Instructions for day 115:

Day 112
WEEK 17

Immunization Protocol Instructions for day 112:

Day 119
WEEK 18

Immunization Protocol Instructions for day 119:

Day 133
WEEK 19

Immunization Protocol Instructions for day 133:

Day 140
WEEK 20

Immunization Protocol Instructions for day 140:


Ordering Information

Billing

Contact Person:

Address:

email:

Telephone:

Fax number:

Purchase Order Number:

Amount of Purchase:


Shipping

Address:

Telephone:

Fax:

Contact Person:

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