Name of Customer:
Date: Crystal ID #

Structure:

Who conducted the analysis? Email address:

Was data collection successful? Yes ____ No

Unit cell or full analysis? Unit Cell Only ______ Full Analysis

Was low temperature data collection required? Yes______ No

Was structure solution of raw data requested? Yes ______ No

If Yes, date it was sent out for solution?

Date structure solution information was sent to customer:

Was raw data archived at Rice University? Yes (CD) No

Additional Information:

Select to submit your report.

Select to clear the form.

If your submission via the Web was not successful, please return this information: By Hand: Rm. 430 DBH. By Mail: Barron Research Group, Attn: Jane McNeel, Department of Chemistry, Rice University, 6100 Main St., Houston, TX 77005

Please include a copy of the Submission Form for external users. Questions or concerns may be addressed via email to: arb@rice.edu or janem@rice.edu, by telephone to the number listed above, or by U.S. mail. Thank you.