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Return Dewar Request
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Insurance
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International Shipments
Is this an International Shipment?
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Yes
Agreement Signature
Agreement Contents
*
I certify that the dewars contain only liquid nitrogen and less than 50 mg of protein or class I biohazard and/or blue shipping containers contain no biohazards.
Agreement to Return as Hazardous
*
I acknowledge SSRL will prepare and return the dewar(s) as hazardous.
Export Control
*
I certify that I have read, concur with and carried out the terms, conditions and requirements for export as outlined in
Instructions for International Shipments.
Power of Attorney
*
I certify that I have sent a Power of Attorney Form to SSRL.
E-mail Signature
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