Radiation Salesforce Form

1-D Channels:
2-D Channels:
Electronics:
Describe Electronics:
Crystal Well:
Radiation to be Measured:
Desired Reflector Type and/or Properties:
Additional Information:
Readout Devices to be used:
Would you like to do the final assembly?:
Radiation to be Measured Other:
Performance Specifications:
Readout Device:
Readout Device Other:
Polarity of Use:
Integrated Electronics:
Gain Stabilization:
Operating Temperature Range:
Energy Range of Interest:
Energy Range of Interest Other:
Fiber Type:
Quantity - Total Fiber Request:
Canes or Spools:
Length of Case or Spool (Meters):
Diameter:
Finish of Fiber Cane Ends:
Application/End-Use:
Any Other Information: