MTA Request Form You must have JavaScript enabled to use this form. Your Information Full name * Email address * Name of your institution * Institution Contact Information Please provide a contact person from your institution’s legal/contracts department. Contact name * Contact email * Project/Study Information What is the name of the project/study in which the materials will be used? * What is the duration of the study in which the PDX models will be used? Open-ended MTA requests are not accepted by our legal department. * Please provide a brief description (a few sentences) of your planned work. You do not have to specify which models you want in this description. * What are the aims of the research to be conducted with the physical materials? * Will you be paying a private company (i.e. through fee for service) to perform any work on your behalf with the materials? If yes, is the company using your materials for their own purposes? * Do you anticipate more than one transfer of materials? * What will happen to any remaining material/data after the research activity is completed? * Leave this field blank
