Download ACKNOWLEDGEMENT OF RECEIPT OF ECBR CELL LINES ECBR

ACKNOWLEDGEMENT OF RECEIPT OF ECBR CELL LINES
ECBR-Branch Genova
National Cancer Research Institute
c/o Advanced Biotechnology Center
Largo Rosanna Benzi, 10
I-16132 Genova
Tel. +39-010-5737236
Fax +39-010-5737237
Herewith I confirm the receipt of the following cell lines from ECBR-Genova branch.
Cell line(s) requested:
IHW Number
Name
Typed or Printed Name
Signature
Date
HLA allele
Quantity*
Department or Division
City/State
AGREEMENT FORM
Cells Provided from the ECBR
I hereby agree that the cell lines provided are for research purposes only. Cell lines and their
product shall not be sold or used for commercial purposes. Nor will cells be distributed further to
third parties for purposes of sale, or producing for sale, cells or their products. Cells are provided
without warranty or merchantability of fitness for a particular purpose or any other warranty,
express or implied.
I agree to take care of shipping charges.
Typed or Printed Name
Signature
Date
Department or Division
City/State
Cell Lines of Human Origin
I understand that the human cell lines distributed by ECBR carry Epstein-Barr virus and therefore
are potentially infectious or toxic to humans. Such cultures must be handled in accordance with
national regulations (they belong to the biosafety level 2 containment according to Italian decree
Low 626/94). I understand that ECBR accepts no responsability for any injury (including injury
resulting in death), damage or loss that may arise from the use of the cells, either directly (including
use for diagnostic purpose) or in the preparation of a product. I assume all risks and responsability
in connection with their receipt, handling, storage and use.
Cell Lines of Murine Origin
I understand that, although murine transfected cell lines have been subjected to stringent tests and
observations which indicate the absence of infectious agents or toxic products, they must be
handled in accordance with national regulations. I understand that ECBR accepts no responsability
for any injury (including injury resulting in death), damage or loss that may arise from the use of
the cells, either directly (including use for diagnostic purpose) or in the preparation of a product. I
assume all risks and responsability in connection with their receipt, handling, storage and use.
Typed or Printed Name
Signature
Date
Department or Division
City/State