Cell Line Release Authorisation for Research Use in Commercial Organisations
Release of this cell line for research use by commercial organisations requires the Depositor’s permission. Therefore
commercial organisations wishing to purchase this cell line for research use must complete section one of this form
and send to the Culture Collections before the order can be processed. Please note that the Culture Collections
Standard Terms and Conditions will apply. See http://www.phe-culturecollections.org.uk/orderinginfo/terms.aspx.
See appendix 1 for name and catalogue numbers of the cell lines which require this form.
Section 1 - Customer
PO/Order Number: Click
here to enter text.
(Please enter your customer purchase order number, website reference or Culture Collections order number)
Cell Line Name: Click
here to enter text.
Name of requesting scientist: Click here to enter text.
Organisation: Click here to enter text.
Address: Click
Phone: Click
Catalogue Number: Click
here to enter text.
Position: Click here to enter text.
here to enter text.
here to enter text.
Intended Use of cell line:
Email: Click
here to enter text.
Click here to enter text.
Signed:
Date:
(requesting scientist)
Culture Collections contact details for the return of this form
Email:
culturecollections@phe.gov.uk
Fax:
+44 (0) 1980 611315
Post:
Culture Collections, Public Health England, Porton Down, Salisbury, Wiltshire, SP4 0JG, UK
Internal use only - Depositor / Technology Transfer Office
Professor Stephen Prime, c/o Angela Hague
Department of Oral and Dental Science
University of Bristol
Lower Maudlin Street
Bristol, BS1 2LY
Main Tel:
0117 9284114
Fax:
Direct Tel:
Email:
A.Hague@bristol.ac.uk
Section 2 – Depositor / Technology Transfer Office - Authorisation for sale
I agree to release this cell line to the customer named in section one for the intended
use
Signed:
 Yes
 No
Date:
Print name:
Once signed please return this form to the Culture Collections using the contact details at the bottom of section one
Section 3 – Culture Collections - Authorisation for sale
Supervisor Signature:
Date:
Print name:
Culture Collections – a Public Health England biological resource
Supporting the scientific community with quality, integrity and expertise
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Appendix 1
List of cell lines that require this form to authorise release for research use in commercial
organisations
Cell Line Name
Catalogue Number
H103
06092001
H157
07030901
H314
06092003
H357
06092004
H376
06092005
H400
06092006
H413
06092007
Culture Collections – a Public Health England biological resource
Supporting the scientific community with quality, integrity and expertise
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