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Application for induced pluripotent stem cell line production
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Name
*
Your answer
Organization
*
Your answer
Address
*
Your answer
Phone/E-mail
*
Your answer
Primary cell type/Sample type
*
Fibrobalst
PBMC
CBMC
Other:
Clone number
*
1 Clone
3 Clone
4 Clone or more
Other:
Passage
*
3 Passage
3 Passage or more
Other:
Stock Vials
*
3 Vials/Clone
4 Vials/Clone or more
Other:
Additional Request
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