Trial Request Form Name sponsor/company Address Name representative E-mail representative Phone representative What kind of product would you like to test? Feed additive Drinking water additive Vaccine Other Please specify How may floor pens do you need? One compartment Two compartments Three compartments Select number of floor pens 24 pens 26 pens 28 pens 30 pens 32 pens Select number of floor pens 48 pens 54 pens 56 pens 60 pens 64 pens Select number of floor pens 72 pens 81 pens 84 pens 90 pens 96 pens Which mean performance values would you like to realize? Body weight Feed conversion rate Body weight gram Feed conversion rate On day How many chickens would you like to use per pen? 20 (1,4 m2 per pen) 17 (1,2 m2 per pen) How many chickens would you like to use per pen? 17 (1,2 m2 per pen) Do you want necropsies to be performed? (In accordance with the law on Experimental Animals) Yes No Number of necropsies per pen What kind of gender would you like to use? (We recommend only males because it is more likely to yield significant results with less variation between groups of the same treatment) male + female (mixed, as hatched) male female What kind of hybrid would you like to use? Ross 308 (standard) Cobb Hubbard Other Which way of hatching would you like to apply? Hatchery hatched On-farm hatched How many feeding phases would you like to apply? Three: starter (day 0-14) + grower (day 14-28) + finisher (> day 28) (standard) Four: starter (day 0-14) + grower-1 (day 14-21) + grower-2 (day 21-28) + finisher (> day 28) What kind of coccidiosis prevention would you like to apply Coccidiostats: as research variable No coccidiostats, but coccidiosis vaccination on day 0 No coccidiostats, but coccidiosis challenge on day ..... (usually day 11 + 18) No coccidiostats, but coccidiosis challenge on day What kind of vaccinations/inoculation would you like to be performed? IB Primer (infectious bronchitis virus) Nemovac (avian metapneumovirus) Avinew Neo (Newcastle disease virus)* ND Clone 30 (Newcastle disease virus)* IB QX (infectious bronchitis virus) Bursa Plus (infectious bursal disease) Other vaccine Inoculation with pathogen Verstuur
