Geological Collections Sample Request

Tell us about yourself

Name

Title

Institution

Address

For what will your samples be used?

Research, education, another purpose?

Please provide a description of your project (with project title, if applicable).

Please be brief. Thank You.

Is this a new request or a continuation of an established project?

New

Continuation

Are the samples for a supported project? If so, please indicate the funding agency.

i.e. NSF, DOE, NASA, USGS, etc.

Is your work part of a larger program? If so, please explain:

Please be brief. Thank You.

Please list the samples requested.

Where would you like the samples sent?

Will you do the sampling? Or do you want the curator to sample for you?:

I'll do the sampling

Please have the curator do the sampling for me

We ask that any left over samples are sent back to us at the end of your project.
If any unused material exists, please mail to:

Alex Hangsterfer
SIO Geological Collections
2310 Downwind Way
Room 100
Deep Sea Drilling Building East
La Jolla, CA 92037

CAPTCHA

Math question 4 + 8 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.