National Biomedical Electron Paramagnetic Resonance Center

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National Biomedical EPR Center

Service Request Form 

*Required Fields

*Name:

*Position:

*Institution:

*E-mail:

Principal Investigator of research (if different than the applicant):

*Applying for a Training Grant?:

 Yes  No 

*Plan to Visit?:

 Yes  No 

If yes, please give preferred dates:

*MCW faculty, most appropriate or previously contacted:

*Description of your experiment. Limit it to one page, pdf format:

*Equipment and supplies requested (e.g. Rapid-freeze-quench, Bruker E580 spectrometer, Liquid helium):

 

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Page Updated 10/14/2014