Gas Cylinder Order Form
  1. **General Store's delivery dates are Tuesdays and Fridays.
    Orders must be submitted by 3:30pm the day before in order to be delivered the next day.
  2. IDENTIFICATION

  3. UnID#(*)
    Invalid Input. Please enter as "00123456" or "u0123456"
  4. First Name(*)
    Invalid Input
  5. Last Name(*)
    Invalid Input
  6. Position(*)




    Invalid Input
  7. Email(*)
    This must be a valid email address that you check regularly.
  8. DELIVERY INFORMATION

  9. **NOTE: General Store's delivery dates are TUESDAYS and FRIDAYS. Orders must be submitted by 3:30PM the day before in order to be delivered the next day.
  10. Building #(*)
    Invalid Input. What building is this lab in?
  11. Lab Room #(*)
    Invalid Input. Please put your lab's room number.
  12. PI or Supervisor's Name(*)
    Invalid Input. What faculty member(s) is/are in charge of this lab?
  13. PI or Supervisor's Email(*)
    Invalid Input

  14. Special Delivery Instructions
  15. Invalid Input
  16. MATERIALS REQUESTED

  17. (*)













    Invalid Input
  18. Quantity(*)
    Invalid Input
  19. See specified Size Types listed in the above descriptions.
  20. CHARTFIELD TO CHARGE

  21. Must be in this format: 01 - 00127 - XXXX - XXXXX - XXXXX, where "X" is a numeric character.
  22. Explicated Chartfield Format: 01 - 00127 - (Fund #) - (Activity or Project#) - (Account #)
  23. For questions contact the Accounting Office (203 JFB, or 801-587-7839).
  24. Business Unit: (2 digits)(*)
    Invalid Input. For questions, contact the Accounting Office (203 JFB).
  25. OrgID: (5 digits)(*)
    Invalid Input. For questions, contact the Accounting Office (203 JFB).
  26. Fund = (4 digits)(*)
    Invalid Input. For questions, contact the Accounting Office (203 JFB).
  27. Activity (5 digits) or Project (8 digits):(*)
    Invalid Input. For questions, contact the Accounting Office (203 JFB).

  28. Additional Information
  29. Invalid Input
  30. Prove you're not a robot
    <b>Prove you're not a robot</b>
    Invalid Input
  31.   
  32. To prevent any delays with your order, please ensure all the information listed above is correct and valid.
    Please allow at least 3-5 days from the date of submission for cylinders to arrive.
  33. **General Store's delivery dates are Tuesdays and Fridays.
    Orders must be submitted by 3:30pm the day before in order to be delivered the next day.
  • Department of Physics & Astronomy • 201 James Fletcher Bldg. 115 South 1400 East, Salt Lake City, UT 84112-0830
  • PHONE 801-581-6901
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