Sample submission (common information)

(* requested)

Principle investigator email *
Sample chm+phy treatment *
Funded by*
Shipping Date dd/mm/yyyy*
Request results on dd/mm/yyyy *
Purchase Order
Mail Invoice to *(email address, if not submitter)
Project ID
Total number of samples to be submitted *
Sample Type *
Sample Kind *
Sample Origin *
10Be     14C     26Al     36Cl     41Ca     129I    
Area sample from *