This registration is to be used by Path BioResource clients or their business administrators who will be financially responsible for services provided. By submitting this form, the named Principal Investigator authorizes Path BioResource to verify the information provided and to create a billing account and PennKey login account.

Do not use this form if you are affiliated with the University of Pennsylvania or its Health System, Children's Hospital of Philadelphia, Wistar Institute, Monell Chemical Senses Center, or Philadelphia VA Hospital. Please visit Request How to to register as a local client.

External client registration is usually completed within 2-5 days, after which your PennKey credentials will be e-mailed to the PI e-mail submitted by a PBR helpdesk representative, as well as a confirmation that your account is ready with instructions for ordering services.

For more information on completing the below form, please review our guide documentation or reach out to us at PBRHELPDESK@pennmedicine.upenn.edu.

Thank you for registering at Path BioResource.
Receiving a PennKey can take between 7 to 10 business days
Principal Investigator
First NameLast Name
PhoneFax
email
shipping address
Institution/Company Dept.
Line 1 Line 2
City State/Province
ZIP/Postal Code Country
Facility you plan to use

Business Administrator (billing contact)
First NameLast Name
PhoneFax
email
billing address
Institution/Company Dept.
Line 1 Line 2
City State/Province
ZIP/Postal Code Country
Organization
Is a Purchase Order required for payment?
May the invoice be sent by email (PDF) instead of a hard copy?
May the invoice be sent by fax instead of a hard copy?
Payment

A Purchase Order is requested for all services;
Contact your Resource Laboratory Director if a PO cannot be issued.
FAX your Purchase Order to 215-898-4227, c/o Luellen Fletcher, mail to

Path BioResource
Luellen Fletcher
John Morgan Bldg #M163
3620 Hamilton Walk
Philadelphia, PA 19104

or e-mail to PBRHELPDESK@pennmedicine.upenn.edu

  PennKey Confidentiality Agreement:

As an individual whose position requires interaction with any or all of the University's administrative information systems, I may be provided with direct access to confidential and valuable data and/or use of data systems. In the interest of maintaining the integrity of these systems and of ensuring the security and proper use of University resources, I will maintain the confidentiality of my password for all systems to which I have access. I will maintain in strictest confidence the data to which I have access.

Confidential information will not be shared in any manner with others who are unauthorized to view such data. I will use my access to the University's systems for the sole purpose of conducting official business of the University. I understand that the use of these systems and their data for personal purposes is prohibited. I understand that any abuse of access to the University's systems and their data, any illegal copying of software, and any misuse of the University's equipment may result in disciplinary action, loss of access to the University's systems, and possible sanctions consistent with the University Policy on Adherence to University Policy.

By submitting my registration I accept the PennKey Confidentiality Agreement.