14C SAMPLE SUBMISSION FORM
                     (SEE INSTRUCTIONS BELOW)
                     ____________________________________________________________________________
                     Submitted By:           ______________________________________________________
                     Address:                ______________________________________________________
                                             ______________________________________________________
                                             ______________________________________________________
                     Telephone/Telefax:      ______________________________________________________
                     Your Sample Name:       ______________________________________________________
                     Details of Provenience: ______________________________________________________
                                             ______________________________________________________
                                             ______________________________________________________
                                             ______________________________________________________
                     Site Location:          ______________________________________________________
                                             ______________________________________________________
                                             ______________________________________________________
                     Sample Material:        ______________________________________________________
                     Possible Contaminants   ______________________________________________________
                     or Special Handling     ______________________________________________________
                     Required:               ______________________________________________________
                                             ______________________________________________________
                     Est. Age of This Sample: ______________________________________________________
                     Basis for Age Estimate: ______________________________________________________
                     Additional Information: ______________________________________________________
                                             ______________________________________________________
                                             ______________________________________________________
                     Please print one or more copies of this form as necessary, using separate sheets for each sample submitted.
                     Use reverse side of form, or attached sheets, if additional space is required for full sample description,
                     instructions for processing, or description of the relationship of this sample to others submitted or to others
                     previously dated.
                    INSTRUCTIONS FOR 14C SAMPLE SUBMISSION FORM
                    ______________________________________________________________________________
                    Name/Address/Phone/Fax:        Name, mailing address, telephone, and telefax numbers of person
                                                   actually sending the sample.  If results or billing are to go to another
                                                   person or address, please provide full details (including Purchase Order
                                                   Number) in a cover letter with the shipment.
                    Sample Name/Provenience:       A concise name for the site from which the sample was collected
                                                   (including   catalogue   number   if   site   is   catalogued)   and   a   brief
                                                   description of provenience within the site (depth, horizon, feature, etc.).
                    Site Location:                 Geographical location of site, including latitude and longitude if
                                                   available.  Please be precise.
                    Sample Material:               Describe exactly what material is to be analyzed.   (For example:
                                                   charcoal, shell, bone, total carbonate, total organic matter, etc.)
                    Contaminants or                Describe any special circumstances observed in the field which
                    Special Handling               should be considered during the preparation of the sample for analysis.
                                                   (For example: rootlet penetration, humic acids, secondary carbonate
                                                   deposition, etc.)
                    Estimated Age:                 Your best estimate of the age to be expected from the sample.
                    Basis for Estimated Age:       Give the basis for your age estimate.  If based on other 14C dates,
                                                   please specify them and their relationship to this sample.  If based upon
                                                   geological or stratigraphic reasoning, please elaborate.  If sample is
                                                   related to other samples previously dated, or currently submitted, please
                                                   describe relationship.
                    Additional Information:        Please add any additional information that may be of use in preparing
                                                   the sample for analysis, or in evaluating the results of analysis as soon
                                                   as they are available (see below).
                    ______________________________________________________________________________
                    Radiocarbon dating is a process which destroys the original sample material, in many cases all of it, and the
                    time to evaluate the analytical result is immediately after the counting is completed.  If the results are 
                    questioned weeks or months later, there often is no way to re-count the sample or to recall the exact 
                    circumstances of laboratory procedures, sample preparation problems, etc.  If we know what to expect, we 
                    can schedule the optimum counting time, examine the results immediately, and save the counting gas for 
                    checking if the result is unexpected.  It is to your advantage to supply as much information as possible so 
                    that you will get the most reliable results possible.