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

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)