ATCC Licensed Derivative® Program – Registration

IMPORTANT MESSAGE! PLEASE READ BEFORE REGISTERING: Please be sure your browser allows pop-up windows so you are able to select the appropriate distributor.

Please complete the form below to register to purchase ATCC Licensed Derivative® products. Note the text boxes with a yellow background are required fields. Also note, when you select your country, a list of available distributors will appear in a pop-up window. At the completion of this form, you will continue to the Gibson Bioscience® End User Agreement. The information you provide here will automatically populate to the Gibson Bioscience® registration form.

  I agree to the terms of the End User Agreement
Gibson Bioscience will automatically apply sales tax in most states. To be exempt from sales tax, please provide us with a copy of
a state resale certificate, tax exemption certificate, or other acceptable proof of tax exemption for the state or US territory where
items will be shipped. Proof of tax exemption may be emailed to
, confirm that my client understands the terms for the agreement and has signed DOC.895 Revision A.

Select your preferred language below and carefully read the terms of the ATCC® End User Agreement.
If you agree to the terms, check the "I Agree" box below and click "Continue."

For Distributor Only

ATCC Licensed Derivative *The ATCC Licensed Derivative Emblem, the ATCC Licensed Derivative word mark and the ATCC catalog marks are trademarks of ATCC. Gibson Bioscience, Inc. is licensed to use these trademarks and to sell products derived from ATCC® cultures.

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