FP Sub-Licensing Questionnaire - Allele Biotech

sweatertableBiotechnology

Dec 3, 2012 (4 years and 7 months ago)

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Fluorescent Protein

Sub
-
Licensing Questionnaire

Allele Biotechnology &
Pharmaceuticals, Inc.

9924 Mesa Rim Road, San Diego, CA
92121

Tel: 858
-
587
-
6645/800
-
790
-
RNAi

Fax: 858
-
587
-
6692

Email: oligo@allelebiotech.com

Institute/Company Name:






Please answer the following questions about your intended

use.


1. What is the main purpose for which you will be using Allele’s Fluorescent
Protein technology?

___ Basic Research (Please answer Question 2)

___ Drug screening (Please answer Question 3)

___ Animal models (Please answer Question 4)

___Other (pleas
e describe):





2. If you intend to use this vector for Basic Research, please select from the
following specific uses:

___ Transient cell transfection

___ Cell line establishment

___ Eukaryotic

___ Prokaryotic

___ Other (please describe):





3. If you
intend to use this vector for Drug Screening, please select from the
following specific uses:

___ Develop new cell
-
based assays

___ General sub
-
cellular marker

___ In combination with other fluorescent proteins

___ Other

(Please describe):





4. If you i
ntend to use this vector for Drug Screening, please select from the
following specific uses:

___ Establishing transgenic animal

___ Ex
-
vivo use

___ Human
-
related use

___ Other (Please describe):





Please answer the following questions about your business
:


1. What is the primary ownership classification for your business?

___ Public


____Private


2. Company Size (number of employees)

___ 1
-
30



___ 101
-
300

___ 31
-
100


___ >300



3. How many people will be using this at your site?

___ 1
-
10

___ 11
-
50

___
>50


4. How many sites within this company will be using this FP?

___ 1
-
5

___ >5


5. Allele’s fluorescent proteins are available in different colors and forms. Which
option are you interested in using (please check all that apply)?

___ Teal Fluorescent

P
roteins

___ Basic Vectors

___ Teal and others



___ Fusion Vectors


6. Do you need post
-
sale technical support or consulting service?

___ Yes

___ No


6a. If yes, the consulting service in the area of:

___ Basic fluorescent usage

___ FRET

___ Species
-
spec
ific usage (i.e. plant or animal)

___ Outsourcing through Allele


X_________________________________
___

Date:___________________

Signature and Title