The Lisa Muma Weitz Imaging Core Laboratory Account Form

The Lisa Muma Weitz Imaging Core Laboratory Account Form
(First time users submit this form prior to the use of instruments or service request.)
Principal Investigator: ___________________________ Phone #:________________
Campus Address:____________________________ e-mail:__________________
Institutional Affiliation: __________________________________________________
Account number to bill: __________________________ Expiration Date:_____________
Billing address: _________________________________________________________
For USF Internal Charges:
Operating Unit Fund Code Dept. ID Product Initiative PC business unit Project number
Non-member Users:
Name: __________________________ Company/Institute:___________________________
Street Address ____________________________________
City, state ZIP _____________________________________
Phone _____________________ e-mail ______________________
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End users of the facility
Name: __________________________________, Phone #: ______________________
� student � staff � faculty
e-mail: _______________________
Training: � Yes � No
Training is required for self-use and users are allowed to use instruments after authorization.
Facility use:
� JEOL TEM � JEOL TEM + Tomography
� JEOL SEM � JEOL SEM + EDAX
� Leica SP2 Confocal Microscope � Live Cell Chamber
� Olympus FV1000 MPE Microscope � IR lasers
� Leica Fluorescence Microscope Stereologer � Nikon Fluorescence Microscope Oncor system
� Arcturus XT LCM � Critical Point Drier
� Full Service � Sputter Coater
� Assistance
*See the fee schedule for cost of instrument use, service, and supplies.
P.I. Signature: ____________________________________Date: _________________
This authorization by P.I. is valid until ___________________ (mm/dd/yyyy)

Lisa Muma Weitz Imaging Core User Fees
Instrument USF Community Non-USF
Arcturus XT Laser Capture Microdissection $30 /hr $60 /hr
JEOL Scanning Electron Microscope $30 /hour $60 /hr
EDAX $10 /setup $20 /setup
Critical Point Drier $10 /run $20 /run
Sputter Coater $10 /run $20 /run
JEOL Transmission Electron Microscope $32 /hr $64 /hr
Tomography $10 /setup $20 /setup
Leica SP2 Confocal microscope $30 /hr $60 /hr
Olympus FV1000 MPE microscope $32 /hr $64 /hr
IR laser use for Olympus MPE $10 /hr $20 /hr
3i Spinning Disk Confocal Microscope $30 /hr $60 /hr
Leica DM4000 Microscope $10 /hr $20 /hr
Cell culture chamber $20 /setup $40 /setup
Imaging analysis
Service
$3 /hr $6 /hr
Full service 1
$65-100/hr $175 /hr
Assistance $35 /hr $70 /hr
Training / Consultation $20/ hr $40 /hr
Supplies Cost
Arcturus LCM CapSure Macro Cap $6 $10
Arcturus LCM CapSure HS cap $11 $13
Arcturus LCM PEN membrane slide $7 $11
Other materials Actual cost + 20%
1. Estimated approximately; can be adjusted according to project needs.
2. Each service is rounded up to the nearest half-hour, each half hour of service = ½.
3. This fee schedule is for the USF community including users from Moffit Cancer Center and VA
hospital.