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Computer Readable Services Order Form
Customer Requesting Information:
Name __________________________________________________________________________________________
Organization ____________________________________________________________________________________
Address ________________________________________________________________________________________
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Client's Reference Number_______________
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Computer Readable Services
CAS Computer Readable Service provides substance identification of input data for a large number of chemical
substances. A separate form should be used for each type of input. More than one output may be selected for a
given input. Complete the REQUIRED use of data/comments section below.
Input: (Choose only one) Output: (Choose all that apply)
Chemical Names Qty: ___________ CASRNs
CASRNs Qty: ___________ CA Index Names
Connection Tables--SDfile Qty: ___________ Synonyms
Molecular Formulas
REQUIRED: Use of Data/Comments ______________ Structure diagrams (hardcopy)
_____________________________________________ Substance definitions
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Authorized Signature _______________________________________ Date ________________________
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