Nih Tetramer Facility Registration Form / Materials Transfer Agreement

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NIH TETRAMER FACILITY REGISTRATION FORM /
MATERIALS TRANSFER AGREEMENT
Instructions
Registrants must submit the documents outlined below.
(1) Registration Form (pages 2-5)
The form must be signed by the registrant (Principal Investigator) and countersigned by
an official capable of legally binding the institution (e.g. president, vice-president,
dean, or provost, but NOT a department chairman).
(2) Biographical Sketch (page 6-7)
Attach a Biographical Sketch that includes a listing of five recent, representative
publications, or a brief curriculum vitae. A Biographical Sketch from a recent NIH grant
proposal may be submitted instead.
Registrants must also provide a FedEx (or other shipping company) account number.
The NIH Tetramer Facility will not bill requesters for shipping charges; you MUST
provide an account number so that your shipping company can bill you. Your carrier
must be able to ship packages containing ice and/or dry ice. Because of changes in the
airline industry, scientists outside of the US must arrange for prepayment of shipping
charges with their carrier; reagents will not be shipped collect.
MAIL, FEDEX or EMAIL (as a PDF) your completed
registration forms to
Dale Long
NIH Tetramer Facility
Emory University
954 Gatewood Rd
Atlanta, GA 30329
TCF.Manager@emory.edu
NOTE: Faxed forms or forms without the original signatures will not be accepted.
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