Application for Crystal Structure Determination

This application consists of two steps. First, please provide entries for all of the fields in Step 1. Next, continue to Step 2, and attach a Microsoft Word file with the expected structure and preferred numbering scheme. This can be done by pasting Chemdraw figures or graphics into a Word document.

Step 1: General Information


Phone Number:

E-mail Address:


Sample Label:

Molecular Formula:

Special Handling Required

Air Sensitive?


Light Sensitive?

Possible Loss of Solvent?

Crystallization Solvent(s) (IMPORTANT: list ALL used in the reaction(s))