bei resource material transfer agreement - BEI Resources

THE UNDERSIGNED SIGNATORY OF RECIPIENT CERTIFIES THAT HE OR SHE HAS THE
AUTHORITY TO MAKE THE ABOVE CERTIFICATIONS AND REPRESENTATIONS ON BEHALF OF
RECIPIENT AND FURTHER WARRANTS THAT HE OR SHE IS LEGALLY AUTHORIZED TO ENTER
INTO THIS BINDING AGREEMENT ON BEHALF OF RECIPIENT.
REGISTRANT - Each Registrant will sign a corresponding Acknowledgement of BEI MTA page.
DULY AUTHORIZED SIGNATORY FOR RECIPIENT’S INSTITUTION
Printed Name Title _
Phone Number ______________________________
Email ____________________________________
Institution ______________________________________________________________________________
Address _______________________________________________________________________________
Signature
Date _____________________________________
FOR ATCC USE ONLY
Printed Name
Title
Signature
Date
Please note that a separate LETTER OF TRANSFER, either electronic or paper, is required for each
MATERIAL requested.
The completed and signed Material Transfer Agreement should be sent to:
BEI Resources
American Type Culture Collection
10801 University Blvd.
Manassas, VA 20110-2209 USA
ATCC ® is a registered trademark of the American Type Culture Collection.
___________
Doc ID: 13789 Effective Date: 5/20/11 Revision 7.0
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