Liquid Helium Requests

Your Name Email Address Phone Number Lab Name Select a lab Andraka B25 B32 B38 B39 B122 B124 B126 B131 B137 B155 B158 Chem 101 Chem 106 Chem 107 Chem 110 Chem 300 Chem 301 Chem 303 Chem 309 Chem 335L Chem 416T Chem 416F Chem ARK Geology Ihas MBI 4.7 MBI 12T MBI 11T40CM MBI 14T MBI 18T Meisel MicroK1 MicroK2 MicroK3 NSC Norton Petkova Reitze Stewart SullivanBlue SullivanWhite SullivanOther Takano106 Tanner WM119 New Type of Need Select a Type Routine Top-up One Time Cooldown Dipping Other Estimated Amount of Helium Needed Select an Amount ~10 ~20 ~30 ~50 ~70 <=100 >100 <=250 <250 Other Date Needed January Febuary March April May June July August September October November December Select Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 AND Select Weekday Mon Tues Wed Thurs Fri Sat Sun Special Needs Any Special Needs? Need Lift Cart 2" Neck 3" Neck Long Term Need Non-Magnetic None Is this request form easier or better than email? YES NO Have you read the Helium Transfer Instructions? YES NO Transfer Instructions Comments / Questions

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