First Name
*
Last Name
*
Email Address
*
Job Role
*
Select One
Facility Manager
Laboratory Manager/Director
Laboratory Technician/Research Assistant
Manufacturing Process Development
Marketing
Physician/Doctor
Postdoctoral Fellow
Principal Investigator
Professor/Instructor
Purchasing
QA/QC
Research Scientist/Staff Scientist
Senior Management
Student/Graduate Student
Other
Company
*
State or Province
*
Please Select...
Alaska
Alabama
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
D.C.
Delaware
Florida
Micronesia
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Marshall Islands
Michigan
Minnesota
Missouri
Marianas
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Palau
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Military Americas
Military Europe/ME/Canada
Military Pacific
Alberta
Manitoba
British Columbia
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
None
Country
*
Please Select
United States
United Kingdom
Canada
India
Netherlands
Australia
South Africa
France
Germany
Singapore
Sweden
Brazil
--------------
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (DRC)
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Authority
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcarin Islands
Poland
Portugal
Tahiti
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saba
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Slovakia
Slovenia
Solomon Islands
Somalia
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Island
Swaziland
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Teheran
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
What are the marker and minimum acceptable expression level requirements for your project?
Please indicate below:
What donor attributes are important for your study?
HLA typing (Specify type)
Sex
Female
Male
No Preference
Ethnicity
Repeat donor availability for longitudinal studies
Cell quantity and packaging
Desired total cell quantity per donor per billion
Preferred vial size
25 million cells/vial
100 million cells/vial (available Q2/Q3 next year)
Other
If other vial sizes are needed, please indicate the vial size below:
Number of vials per lot
Application Area
What is the intended use of the PBMCs?
Immunology research
Toxicity testing
Vaccine development
Cell therapy
CAR-T development
Other
If other, please indicate the usage below:
Lot selection preferences
Please indicate your lot preference
Reserve entire lot for exclusive use
Accept partial lots
Other
Shipping and logistics
Preferred delivery timeline
< 8 Weeks
8-12 Weeks
Flexible
Shipping
Bulk Shipment
Batch Shipment
Additional comments or requirements
