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Request Sample Acquisition &/or Cruise Participation



Name

E-mail Address

Phone #

Fax #

Cruise #




Name of all participants

Affiliation/Advisor (for students)

Grant Support (agency & number)

Contact Address

Phone #




Cruise Objective(s)

Summary of planned at-sea operations (eg. CTD, water sampling, sediment traps, incubations, net tows, etc)

Requirement (i.e. sampling & post collection, wire time, lab space, electrical/mechanical, deck/lab storage space, etc)

Hazardous chemicals / compressed gases / liquid nitrogen / isotopes (for radioisotopes fax copy of license, for hazardous chemicals fax copy of MSDS)