Request the Pandemic Response Box

Your details

Title

First and last name

Name of principal investigator (if different from name entered above)

Institution

Email address

Phone number

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City

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Do you intend to perform your research on primary human tissue samples (e.g. blood) from healthy volunteers or patients?

What is the source of the samples?

Please provide a brief summary of the research you plan to conduct (less than 250 words)

Is this a request for another copy of the Pandemic Response Box?

Please explain why another copy is required for your research.

Have you previously received a copy of a different MMVOpen box (Malaria Box, Pathogen Box, Global Health Priority Box, COVID Box)?

Please indicate how you found out about the Pandemic Response Box?

If other, please fill in the text box.

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