UMBS Analytical Chemistry Lab Analysis Request
Please fill out this form to request* sample analysis at UMBS.

*Submitting this form does not guarantee we can accommodate your request. We will contact you to discuss your samples and analyses upon receipt of this form.
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Your Name *
Your Institution *
Your Email address *
Date of request submission *
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Requested results by what date *
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YYYY
Name of Project supervisor/PI/Instructor *
Project supervisor's Institution *
Project supervisor's email address *
Payment type *
Payment contact or class number (UM only)
Billing Address
Please include a short description of your research project. the sampling site for this data set, and research questions you are addressing with these data. If you have an approved UMBS project, please include the link here. *
Analysis to be performed *
Required
Number of samples *
Please email spreadsheet of sample ID numbers and descriptions to UMBSchemistry@umich.edu
What are your expected concentration levels or results ranges? (For dilution and standard preparation purposes).
What else would you like us to know about your samples?
How would you like samples to be handled after analyses? *
Required
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