CSD Facility Customer Form
Please fill out this form in as much detail as possible.  

Please contact CSD Facility staff for further information. For questions regarding billing, contact Billing/Accounting at CSDacct@umn.edu.
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CSD Facility Contact Information
Reason for initial contact. *
Please let us know how we can help you.
Who is your staff contact at the CSD Facility? *
CSD Facility Quote Number
If known
Principal Investigator Information
Name of Principal Investigator *
Owner of account to be charged
Organization or Institution *
Department *
Principal Investigator Email Address *
Principal Investigator Phone Number *
Billing Contact Information
Administrator for the Principal Investigator listed above. Invoice will be emailed to this person. Leave all billing contact fields blank if invoices should be delivered by email to the PI.

Invoice process: You will be invoiced by email by the University of Minnesota central accounts receivable (AR) system. Invoices will contain instructions for paying by credit card through the UMN payment system and for paying by EFT, ACH, check or wire transfer. Payment can only be accepted after an invoice has been sent.
Billing Contact Name
Billing Contact Email
Billing Contact Phone Number
University of Minnesota Principal Investigators:  Please fill out billing information below
Your work will be charged to account code 720403 - Scientific Services. Please be sure you budget this work on your grant under 720403.
Please indicate the EFS string to be charged.
Please indicate the project end date.
MM
/
DD
/
YYYY
Shipping Address - required unless billing address is provided instead
Provide full street address - number, street name and building name/room number if using
Shipping Address Line 1 - street name and number
Shipping Address Line 2 - building name and number if using
Shipping City
Shipping State
Shipping Postal Code
Shipping Country
Billing Address - required if different from shipping or if no shipping address is provided
Provide full street address - number, street name and building name/room number if using
Billing Address Line 1 - street name and number
Billing Address Line 2 - building name and number if using
Billing City
Billing State
Billing Postal Code
Billing Country
Minnesota tax exemption - non-UMN customers only
Do you have a Minnesota tax exempt ST3 form or a tax form showing exemption reciprocity between your state and Minnesota? To set up your account, please email this form to Billing/Accounting at CSDacct@umn.edu with the header "Minnesota tax exempt form".
Project Title
Supported by
Indicate all sources of funding
Clear selection
If funding source includes any US-NSF grant(s), indicate grant number(s)
Required by NSF
If part of a larger program, please identify or describe
Submit
Clear form
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