Cell Line Release Authorisation for Research Use in Commercial Organisations
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 completesection 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
See appendix 1 for name and catalogue numbers of the cell lines which require this form.
Section 1 - CustomerPO/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. / Catalogue Number:Click here to enter text.
Name of requesting scientist:Click here to enter text. / Position:Click here to enter text.
Organisation:Click here to enter text.
Address:Click here to enter text.
Phone:Click here to enter text. / Email:Click here to enter text.
Intended Use of cell line:Click here to enter text.
Signed:
(requesting scientist) / Date:
Culture Collections contact details for the return of this form
Email: /
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
Imperial Innovations Ltd.
52 Princes Gate
Exhibition Road
London, SW7 2PG
Main Tel: / + 44 (0) 207 5814949 / Direct Tel:
Fax: / + 44 (0) 207 589 3553 / Email: /
Section 2 – Depositor / Technology Transfer Office - Authorisation for sale
I agree to release this cell line to the customer named in section onefor the intended use / Yes No
Signed: / 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 NumberHCA-7 Colony 29 / 02091238
HCA-2 / 06061901
HCA-7 / 06061902
HCA-24 / 06061903
HRA-16 / 06061905
HCA-46 / 07031601
HCA-7 Colony 1 / 09071501
HCA-7 Colony 3 / 09071502
HCA-7 Colony 6 / 09071504
HCA-7 Colony 11 / 09071506
HCA-7 Colony 24 / 09071509
HCA-7 Colony 26 / 09071511
HCA-7 Colony 27 / 09071513
HCA-7 Colony 30 / 09071516
HRA-19a1.1 / 09071517
HRA-19a1.1 Alpha 2F / 09071520
HRA-19a1.1 Alpha2 B / 09071522
HRA-19a1.1 Alpha2Alpha1 B / 09071524
HRA-19a1.1 Alpha2Alpha1 E / 09071527
HRA-19 / 10012802
Culture Collections – a Public Health England biological resource
Supporting the scientific community with quality, integrity and expertise
Page 1 of 2 M055.20131016.v2