Material Transfer Agreement (MTA) for Environmental Sample Transfer
1. Parties
Provider Institution:
Provider Contact Person:
Recipient Institution:
Recipient Contact Person:
2. Description of Material
Name/Type of Environmental Sample:
Quantity/Volume:
Sample Collection Date and Location:
Additional Description:
3. Purpose of Transfer
Intended Use/Research Aim:
4. Terms and Conditions
Key Terms:
Term
Details
Permitted Use
Intellectual Property
Publication
Confidentiality
Return/Destruction
Other
5. Signatures
Provider Name:
Provider Signature:
Date:
Recipient Name:
Recipient Signature:
Date: