External CORES Billing Registration Form

Submitter Information
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New Resource User
Select Your Role
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Billing Information
*
*
*
*
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Would you like a user account?

If yes, fill out Lab Member section below.
Principal Investigator or Company Name
*
*
*
Lab Manager Information
Lab Member #1
Lab Member #2
Lab Member #3
Lab Member #4
Shared Facility Access Request
Please indicate if you plan to use one of the Shared Facilities below:


If selected, additional information will be needed.