To submit a sample for analysis, please fill out the following form for each sample to be analyzed: Name* First Last Email Address* Enter Email Confirm Email Name of Principal Investigator* First Last Principal Investigator Email Address:* Enter Email Confirm Email Name of Financial/Purchasing Contact* First Last Financial/Purchasing Contact Email Address* Enter Email Confirm Email Instrument to be Used for Sample Analysis* Select All easyXAFS 300+ Bruker Apex II Single Crystal X-ray Diffractometer Bruker D8 Venture Single Crystal X-ray Diffractometer Bruker D2 PHASER Powder X-ray Diffractometer Sample ID:* State of Sample Solid Liquid Gel Gas Powder Crystalline Is the Sample Radioactive?* Yes No Include Any Drawings of the Sample Here:Max. file size: 195 MB.Would You Like the Data to be Emailed or Available on Microsoft Sharepoint?* Select All Email Microsoft Sharepoint Would You Like Your Sample Returned?* Yes No The return of a sample will amount to a $75 return fee for non-radioactive samples and a $200 return fee for radioactive samples.Please Indicate the Desired Experiments/Notes for Data Collection Here: