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Material Request Form

In the interest of advancing our knowledge of the mechanisms of development and of tissue repair and regeneration, Creative BioMolecules makes the BMPs and related reagents that it has on hand available to the research community free of charge. To apply for samples, please completely fill out and submit the form below. Your application will be reviewed by an internal review committee, and you should receive a reply within 4 weeks. A material transfer agreement (MTA) between CBMI and your institution covering the reagents and the area of use must be executed before any material can be sent. This process usually takes anywhere from a few weeks to several months. We request that, within 6 months of receiving the materials, researchers submit a progress report outlining the results of the work done with the transferred reagents.

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Name of Lab Head (PI):
First Name:
Last Name:
Your Name if you are not the Lab Head:

 First Name:

 Last Name:

Institution:
Mailing Address:
City:
State:
Zip Code:
Country:

 Mail Code:

Shipping Address:
(If different from mailing address)
 

 City:

 State:

 Zip Code:

 Country:

Telephone:

 Your FedEx Number:

Facsimile:
E-mail:
 Reagent Requested  Amount Requested [in uG]

 Project Title:

 Project Outline (Brief Outline of the planned use of the materials):
 

Copyright 1998 Creative BioMolecules, Inc. All Rights Reserved
Last modified: 03/12/99
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