CTEMPs Instrument Request Application
Request for instrument leasing from CTEMPs
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone number *
Numbers only
Your answer
Fax #
Your answer
Institution
Your answer
Department
Your answer
Address
Your answer
Your role *
Additional PIs
Your answer
Experiment title *
Your answer
Experiment short name *
Your answer
Experiment description *
(limit 500 words)
Your answer
Experiment longitude
Use + for East, - for West, and decimal notation. Example W 105º30'30" would be entered as -105.508333
Your answer
Experiment latitude
Use + for North, - for South, and decimal notation. Example S 35º30'30" would be entered as -35.508333
Your answer
Experimental environment *
Estimated date equipment should ship from CTEMPs *
MM
/
DD
/
YYYY
Estimated date equipment will return to CTEMPs *
MM
/
DD
/
YYYY
Do you require fiber optic equipment or UAS (Unmanned Aircraft System?) *
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