Cell Line Release Authorisation
Permission of the depositor must be sought by ECACC prior to the release of the cell lines listed in appendix 1. Therefore any customer wishing to purchase these cell lines for research use must complete section one of this form and send to the CultureCollections before the order can be processed. Please note that the Culture Collections Standard Terms andConditions will apply. See
Please see appendix 1 for conditions of release and the 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
Melanie Hardman
Cancer Research Technology Ltd
Angel Building
407 St John Street
London EC1V 4AD
United Kingdom
Main Tel: / +44 (0)20 3469 6300 / Direct Tel:
Fax: / +44 (0)20 3014 8633 / 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
The cell lines named below will be made available subject to the following conditions:
- It is to be used for research purposes only.
- Not to be offered for sale or be utilised in commercial processes involved in the preparation for sale of any biological material.
- Not to be distributed to third parties.
- If the cell line is referred to in any publication, then correct reference will be made to the work of the original depositor and no alteration will be made to its ECACC title or acronym.
- It is understood that neither ECACC nor its depositors accept any liability whatsoever in connection with the handling or use of the cell line.
List of cell lines that require this form to authorise release for research use:
Cell Line Name / Catalogue NumberFLYA13 / 95091901
FLYRD18 / 95091902
SVCT / 94122105
SVCT-MI2 / 98031105
PDVC 57B / 01022129
Culture Collections – a Public Health England biological resource
Supporting the scientific community with quality, integrity and expertise
Page 1 of 2 M096.20140122.v1