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Sample information form

Please provide the information requested below. This will help us to determine if we can safely handle your samples. We cannot start work on your experiment before this information has been provided.
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I agree to the work being carried out in accordance with the quote I received, to the best of the ability of the staff. I understand the desired outcome can not be guaranteed and payment will be required regardless of the outcome (required)

Privacy notice

The information on this form will be used to determine protective measures required to handle your sample and to charge for the time used for your experiment. We will store the information in this form and your contact details. We may contact you to request clarification. We will not use the data for any other purpose. By submitting this form you confirm that you have supplied accurate information to the best of your knowledge.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at

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