GMP	Yes    No
Cell name
Deposit Identification Number of Ampoules
GMO Category
This information is a legal requirement in accordance with the UK Health and Safety laws. ECACC can perform a GMO assessment but a charge will be levied.
I have read and agree to abide by the Terms and Conditions for Safe Deposits at ECACC. See also the guide to the deposit of cultures (Link at bottom of form) for information on packaging and submission of samples.
Name
Company Name
Address
Post Code
Country
Telephone
Fax
Email Address
Invoice Address (if different from above)
Please Note: ECACC must receive full information regarding delivery at least 48 hours before despatch.
A Biohazard Statement (Link at bottom of form) must be completed in order for your samples to be accepted. ECACC is required to asess the GMO status of all deposits PRIOR to receipt.  Therefore, we will contact all depositors to advise them when we can receive samples.