Name: Upstatement
Price range: $

Name *

Email *

Company Name *

Company URL

Team Size *

What stage, and how much funding has your company received to date? *

What does your company do? (please explain as if talking to a non-scientist) *

Please provide a technical description of the experiments you will perform in the laboratory. *

The information provided must be sufficient to eliminate the need to reference other documents or scientific papers (e.g. genetic engineering of plasmids in non-pathogenic E. coli; ex vivo production of nucleic acids and expression plasmids like TALENS; generation of transgenic animals or plants expressing transgene "X") If not needing labs please type N/A.

Please list any biological material and their associated biosafety level that you will use in the laboratory. Type N/A if not needed: *

Will you be working with any recombinant DNA or gene editing technology? If so, please provide a brief description: *

Please list any equipment that you will be installing in the laboratory and any special facilities requirements: *

Please list any additional equipment that you would require access to for your work (e.g. centrifuge, vortexer, cold storage) *

Please provide any additional information that you feel is important.

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