COMPANY NAME
CONTACT PERSON
CONTACT
TEL
ESTIMATED MOVE-IN DATE
ESTIMATED MOVE-IN NUMBER OF EMPLOYEES
R&D PERSONNEL
OFFICE PERSONNEL
SPACE NEEDED
OFFICE AREA
LAB AREA
RESEARCH SUBJECT
COMPANY STAGE (SEED, ANGEL, SERIES A, SERIES A+)
MAIN BIOHAZARDS
ESTIMATED MONTHLY BIOHAZARDS EMISSION (SOLID BIOHAZARDS, LIQUID BIOHAZARDS)
SOLID (L)
LIQUID (L)
ANY RESEARCH INVOLVING ISOTOPIC RADIOACTIVITY?
IS ANY SAMPLE INFECTIOUS OR OF HIGH-RISK TO HUMANS AND ANIMALS?
MESSAGE