Industry Contact Questionnaire

General Information

Company Name *

First Name *

Last Name *

Title *

Phone *

E-mail Address *

Preferred method of contact *

Country *

Web Site

Describe your company’s previous work and/or ongoing projects with ORNL, if any. Include approximate dates:

Project Information

Project Type

Research Area

If research area is not listed above, explain:

Requested Technique (if known)

If technique is not known or not listed above, explain:

General description of project (should not contain proprietary information) *

Requested Instrument

Instrument staff contacted (if applicable):

Projected completion date for project

If completion date is not known or not listed above, explain:

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Neutron Sciences Directorate