INTENT TO USE THE CHFE

Please note that this form does not submit any data.
It allows you to create a form with some data already entered.
All fields are optional. Any fields left blank will be left blank on the form you print out.
You will then need to fill out any blank fields, get the form approved by your advisor, and take it to the Center.

 

Student or Researcher's Name:
   Advisor's Name:
   Department:
   Researcher's Extension:
   Researcher's Room Number:
   Researcher's E-mail:

Please charge $100 per month user fee to the following account:
   Account ID:
   Account Number:
   *If you don't know the account numbers at this time go ahead and create the form. The account numbers can be filled in later.

Please charge equipment to the following account (unless otherwise indicated at the time of transaction):
   Account ID:
   Account Number:

Please print and bring directly to the Center.

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