Fluorescent Protein SubLicensing Questionnaire
Allele Biotechnology &
Pharmaceuticals, Inc.
9924 Mesa Rim Road, San Diego, CA
92121
Tel: 858-587-6645/800-790-RNAi
Fax: 858-587-6692
Email: oligo@allelebiotech.com
Institute/Company Name:
Please answer the following questions about your intended use.
1. What is the main purpose for which you will be using Allele’s Fluorescent
Protein technology?
___ Basic Research (Please answer Question 2)
___ Drug screening (Please answer Question 3)
___ Animal models (Please answer Question 4)
___Other (please describe):
2. If you intend to use this vector for Basic Research, please select from the
following specific uses:
___ Transient cell transfection
___ Cell line establishment
___ Eukaryotic
___ Prokaryotic
___ Other (please describe):
3. If you intend to use this vector for Drug Screening, please select from the
following specific uses:
___ Develop new cell-based assays
___ General sub-cellular marker
___ In combination with other fluorescent proteins
___ Other (Please describe):
4. If you intend to use this vector for Drug Screening, please select from the
following specific uses:
___ Establishing transgenic animal
___ Ex-vivo use
___ Human-related use
___ Other (Please describe):
Please answer the following questions about your business:
1. What is the primary ownership classification for your business?
___ Public
____Private
2. Company Size (number of employees)
___ 1-30
___ 101-300
___ 31-100
___ >300
3. How many people will be using this at your site?
___ 1-10
___ 11-50
___ >50
4. How many sites within this company will be using this FP?
___ 1-5
___ >5
5. Allele’s fluorescent proteins are available in different colors and forms. Which
option are you interested in using (please check all that apply)?
___ Teal Fluorescent Proteins
___ Basic Vectors
___ Teal and others
___ Fusion Vectors
6. Do you need post-sale technical support or consulting service?
___ Yes
___ No
6a. If yes, the consulting service in the area of:
___ Basic fluorescent usage
___ FRET
___ Species-specific usage (i.e. plant or animal)
___ Outsourcing through Allele
X____________________________________ Date:___________________
Signature and Title