Rice University Chemistry Department
Compressed Gas Order Form
First Name: *
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Last Name: *
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Email Address: *
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Bldg: *
Room #: *
(Drop-off Point)
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Fund #: *
Your answer
Org. # *
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Phone #: *
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Type of Gas: *
If you cannot find the gas type, provide detailed information in the comments section.
Cyl. Quantity: *
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When Needed?
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Comments:
Please include the type of gas, purity and cylinder size/volume for any special blends.
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Submit
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