Let’s-Join-Us Form
〜life-science-laboratory〜

1 Fill out form

2 Confirm

3 Complete

* Required

Given name*

Middle name

Family name*

City, State*

Country*

Email*

Confirm Email*

I’m in my*

Your gender identity*

Your occupation*

Your occupation

What benefit do you expect from the experiment?*

To live a long and healthy life

To stay young, both physically and mentally

To lower high blood pressure

To cure erectile dysfunction

To improve Alzheimer’s disease

To prevent thrombosis

Others

What benefit do you expect from the experiment?

Consensus*

I agree to engage with the experiment as a cooperator.