Beam Time Requests

Beam Time Requests

New Customer?*

No

Yes

Affiliation*

Non-UC

UC

Company Name*

Requested By*

Your name

Address

City*

State*

Zip Code*

Work Phone*

Fax Phone

Email Address*

UC Davis Agreement number(Current Customers)

Client PO number or UC Account number

Business Contact Name*

Beam Flux or Current*

Additional Specifications for Beam Flux or Current

Drag and drop files here or

Beam Energy*

Dates Requested Begin*

Date Requested End*

Requested Number of Hours per Day*

NOTE: Minimum Charge is 8 Hrs/Energy Tune

Individual Names of All Users Attending*

(NOTE: Necessary for Dosimetry). Special requirements. *

Send me a copy of my responses

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