Instrument Use Rebill Form

A form for IRIS PASSCAL Instrument Use Rebill requests that will send an email to PASSCAL staff.

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Project Name: *

Project Begin Date: *

MM-DD-YYYY

Project End Date: *

MM-DD-YYYY

Location: *

PI Name: *

Institution: *

PI E-mail: *

Billing Address: *

To help IRIS obtain timely reimbursement for shipping and personnel travel costs associated with the use of PASSCAL equipment, please provide the appropriate billing address to which all invoices should be submitted.

Additional Notes on Invoicing Requirements (if applicable):

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Updated on Mon, 06/22/2009

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Instrument Use Rebill Form

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