SERVICE REQUEST FORM

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Once you fill out this service request, we will contact you to schedule our initial meeting. The initial meeting when we discuss the service(s) you seek and our pricing structure is at no cost to you.

Email *

First and Last Name *

Name of Company, Business, Agency, Institution, School, or Self *

Phone Number *

Requested Service(s) *

Professional consulting and advice on potential solutions

HPC-based quantum calculations

Data visualization

Feasibility study for a potential project

Literature review for a potential project

Assistance with grant proposal writing

Reviewing of grant proposal in pre-submission

Middle school and high school tutoring

College and university tutoring

Manuscript editing

Book publishing

Required

Today's Date *

YYYY

Send me a copy of my responses.

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This form was created inside of Chemsultant Services LLC.