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CarbonBridge Customer Intake Form
Interested in integrating CarbonBridge's bioreactor into your bio-industrial manufacturing process? Fill out the form below with some basic information and we will be in touch soon!
Disclaimer: Please do not share any NDA information. This form is to broadly understand your needs and if/when we can work together. After initial responses are received, a follow-up meeting will be scheduled and an NDA can be initiated.
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Email
*
Your email
COMPANY & PERSONAL INFORMATION
Full name
*
Your answer
Phone number
Your answer
Company Name
*
Your answer
Company Type
(Ex: Seed stage startup, chemical company, etc.)
*
Your answer
One line descriptor of your company
Your answer
Your role/ job function
*
Your answer
Company Location (Headquarters)
Your answer
R&D Lab location where the proposed collaboration would take place (if different)
*
Your answer
PROCESS INFORMATION
Brief description of bioreactor need
*
Your answer
What is the current scale of your technology?
*
R&D/ Benchtop
Prototype/ Pilot
Commercial
Other:
Required
What is the existing bioreactor you have (company & model)?
*
Your answer
What organisms are you working with?
*
Mammalian cells
Bacteria (pure culture)
Bacterial consortium
Yeast
Other:
Required
What are your temperature requirements?
*
Your answer
What input gasses (if any) are required?
*
Your answer
Please give us a brief description of other required or desired inputs? (Ex: buffers, oils, sugars, etc.) Please do not list individual media components.
*
Your answer
What is the product?
*
Your answer
What is the state of your product?
*
Gas
Liquid
Solid
Required
Brief description of any downstream purification (e.g. are the cells harvested and lysed?).
Note: our bioreactor focuses on production only. We do not offer any DSP services, but we need to know how to integrate with the existing DSP to plug and play into your system.
*
Your answer
Anything else you think we need to know about your bioprocess? (e.g. material compatibility with end-product, etc.)
Your answer
OTHER INFORMATION
Target start date of project?
MM
/
DD
/
YYYY
Why do you think the CarbonBridge bioreactor would be beneficial to your process?
Your answer
Do you have links to any publications or other materials for us to understand your process better?
Your answer
Send me a copy of my responses.
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