Requestor Information
Last Name:
First Name:
Phone #1:
Company:
Phone #2:
Position: Guest
Email:
Collaborator Information
Last Name:
First Name:
UANet ID:
Department:
Phone #:
Requestor's Signature
Collaborator's Signature
Department of Chemistry
NMR Account Request Form
www.chemistry.uakron.edu/magnet
[email protected]
Date
By signing, the requestor agrees to abide by the NMR
Facility and The University of Akron's rules and regulations.
The requestor also agrees to be responsible for the cost of
repair not covered by warranty or service agreements,
should there be any damage caused by the requestor.
Date
By signing, the collaborator agrees to be responsible for the
cost of repair not covered by warranty or service
agreements, should there be any damage caused by the
requestor.
ADMINISTRATIVE USE ONLY below this line.
Solid-State
Solution
User ID:
PID:
GID:
300 Gemini
300 Mercury
200 Chemag
200 INOVA
NMR IT Manager
Date
NMR Lab Manager (Solutions)
Date
NMR Lab Manager (Solids)
Date
400 INOVA
750 INOVA
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