Sample form for research requests

This is a sample form, to request DNA please search The DNA and Tissue collection

Please enter your name, address and contact information details onto the form below. Click the "Download Form" button at the bottom to download your Research Samples Request Form. [IK5] Please send it along with a completed and signed (by hand) MTA Form to the address given below the form. Alternatively, you may scan the signed MTA Form and Research Samples Request Form and send it as an attached PDF to dnabank@kew.org

Please note, all Research Samples Requests must be accompanied by a fully completed and signed MTA Form. We will not be processing any incomplete requests.

More information concerning the Convention on Biological Diversity and CITES can be found here... CITES. CBD.

Unfortunately, for species listed by CITES, we are unable to accept requests from institutions which are not CITES registered and from countries without a CITES authority.

The Material Transfer Agreement is available here. Please take note of the footnotes at the end of this page when making your payment.

Name Please enter your full name

Institution Please enter a full institution name

Position (list supervisor if student) Please enter your full position (list supervisor if student)

Address Please enter your full address

Contact Number Please enter a valid contact number

Contact E-mail Please enter a valid e-mail address

Title of research programme / project Please enter a full title of research programme / project

VAT number Please enter a valid VAT number

CITES number Please enter a valid CITES number

Ref. No.	Taxon	Processing Fee
10867	POACEAE Poa trivialis	15.00
10802	POACEAE Poa pratensis s.l.	15.00
Subtotal		£30.00
VAT (at 20%):¹		£6.00
Total Cost:		£36.00

Comments

Once you have completed all the sections please press the "Download Completed Form" button and print off the resulting PDF for signing. Note - if you have opted to pay by credit card the card number and security code will need completing by hand.
Please then send to:

DNA and Tissue Collection Manager
Jodrell Laboratory
Royal Botanic Gardens, Kew
Richmond
Surrey
TW9 3DS
United Kingdom