PROPOSAL INTENT RESPONSE SHEET RFP No NHLBI RR TITLE by epmd

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									                                   PROPOSAL INTENT RESPONSE SHEET


RFP No. NHLBI-RR-05-19

TITLE:   NIH National Stem Cell Bank



PLEASE REVIEW THE REQUEST FOR PROPOSAL. FURNISH THE INFORMATION REQUESTED BELOW AND
RETURN THIS PAGE BY FEBRUARY 16, 2005. YOUR EXPRESSION OF INTENT IS NOT BINDING BUT WILL
GREATLY ASSIST US IN PLANNING FOR PROPOSAL EVALUATION.
    [    ]   DO INTEND TO SUBMIT A PROPOSAL

    [    ]   DO NOT INTEND TO SUBMIT A PROPOSAL FOR THE FOLLOWING REASONS:




COMPANY/INSTITUTION NAME:


ADDRESS:




PROJECT DIRECTOR’S NAME:

TITLE:

TELEPHONE NUMBER:

E-MAIL ADDRESS:

NAMES OF COLLABORATING INSTITUTIONS AND INVESTIGATORS
(include Subcontractors and Consultants):




AUTHORIZED SIGNATURE:

TYPED NAME AND TITLE:

DATE:

RETURN TO:

    Review Branch
    National Institutes of Health
    National Center for Research Resources
    6701 Democracy Blvd. Room 1074
    Attention: Dr. Sheryl Brining
    Bethesda MD 20892-4874
    FAX: (301) 480-3660

								
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