External Fluorination Lab Sample Submission Form
Form to collect meta data for sample submission to Brown University (Ibarra Lab) Triple Oxygen Isotope Fluorination Facility. Please see the sample submission page prior to filling out this sample submission form. This form should be filled out per sample submitted to the laboratory. If you have questions please send an email to Dr. Ibarra (daniel_ibarra@brown.edu)
Email *
Your name (Last, First) *
Your affiliation *
Billing Information:

Institution Name
PI Name
Billing Address
Billing Email
Additional Billing Information (if any)
*
Sample ID *
Sample Type/Mineralogy *
Sample Mass
Desired leaching procedure *
Desired heating procedure *
Would you like the remaining sample mass (if applicable) sent back to you? *
Do you intend to publish or present this data? *
Is there any additional information you would like to share about this sample? 
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