Job Request :Electronic Instrument Services

Electronic Instrument Services

Department of Chemistry

NOTICE: This form has been updated and moved to a new location. Please go here to fill out an EIS job request.

First Name*

Last Name*

Email*

Phone

Group/Affiliation*

Account Number*

Sub-Account (if applicable)

Request*

Item Location (other than EIS)

Brief Job Description*

Urgency of Request*

Requested Completion Date (if applicable)

Max Expenditure (w/o further consultation)