Adelaide MicroscopyEnquiry Form

Adelaide Microscopy

Enquiry Form

Use this form if you would like to make an enquiry about the services Adelaide Microscopy has to offer

Please provide your contact information and as much detail as you can about the aims of your research so that we can respond to your request in a timely manner.

On receipt of your enquiry one of our Microscopists will contact you to discuss your requirements.

Following this conversation, if you agree to proceed with your imaging and analysis at Adelaide Microscopy, you will be asked to complete a user registration form (the link will be sent to you via email) and you or your supervisor will also need to provide project information so that a user profile can be set up in our facility booking system.

* mandatory field

Contact Information

Title*

Select

Other Title

First Name*

Family Name*

Email Address*

Phone Number

Phone

Which Institution or Organisation are you from?*

Faculty / Department / School

Campus Location

Supervisor Name

How did you hear about Adelaide Microscopy?

Select

How did you hear about us?

Microscopy Analysis Information

Type of analysis required*

Please select all that apply. If you are unsure, please select 'Other' and include as much detailed information about your analysis as you can in the field below.

For more information about the instruments available at Adelaide Microscopy, refer to our website.

Select

Please detail the type of analysis required*

What is your sample?*

Is it hazardous?*

If you are unsure, please discuss this with one of our staff before you bring the sample into our facility.

Select

Brief description of analysis required*

If you have any attachments related to your research, please upload them here

eg. images of your samples, relevant publications or manuscripts etc

Drag and drop files here or

Have you already been in contact with an Adelaide Microscopy staff member to discuss this particular analysis?*

Select

Which staff member?*

Select

Have you used Adelaide Microscopy's services previously?*

Select

When did you previously use our services?

Additional comments?

Send me a copy of my responses

Privacy Notice|Report Abuse

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.