Application Project 1 – Testing High Adhesion Dishes

Apply now for the High Adhesion Project using the form below. You will receive your sample dishes needed to complete the project and submit results using the Results Submission Form within 3 weeks.

Name*
First Last
Company / Institution*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
We need this to ship your dishes!
Phone*
We need this for the shipping label.
Email*
What cell type will you use?*
Any type is acceptable, but neurons are preferred.
What culture method will you use?*
Will you perform viability staining?
This is not required, but if you do perform viability staining, you will receive an additional discount code for 20% off.
Experiment Description and Additional Comments
Proposal Acceptance*
- By checking this box I agree to the terms outlined in the proposal and will provide results from my experiment within 3 weeks of receiving sample dishes.
Number

Application Project 1 – Testing High Adhesion Dishes

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