Initial Contact/Booking Request Form

This on-line form establishes initial contact with the ANFF ACT Node. Our Facility Manager will follow-up with more detailed discussion of your project and assist with preparing a formal user request should you wish to proceed. PLEASE DO NOT INCLUDE ANY CONFIDENTIAL INFORMATION
Your Details
User Name:
Phone No. (inc. area code):
Fax No. (inc. area code):
Email Address:
Prefered contact method:
Position: (please select all that apply)	Privately Funded Researcher Publicly Funded Researcher University Researcher Early Career Researcher (<5 years Post-doctoral experience) Student - PhD Student - Masters Student - Undergraduate Other - please specify
If 'Other' - please specify here:
Organisation:
LEIF Partner? (if known)	Yes No
Your Project
Project Title:
Project Description:	Include details of techniques or instruments required, if known
Relevant references:
Any timing constraints?	Yes No
If 'Yes' - provide details here:
Have you used ANFF facilities previously?	Yes No
Just click on the 'Submit' button and your details will be sent through to our Facility Manager. Thank you.

Your Details