Illinois Speleological Survey, Inc.
ISS Data Request


ISS Data Request

Name:
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Affiliation:
    	______________________________________________________________
Address:
     	______________________________________________________________
	 	______________________________________________________________
	  	______________________________________________________________
Phone:
		___________________________
E-mail:
		___________________________

Information needed - Please list cave name, county, type of data needed (e.g. map, location, biology, etc).
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______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Date requested
    	____________________
Date needed
      	____________________


Please describe how and for what the data will be used.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Any additional information or explanation (attach additional sheet if necessary).
_______________________________________________________________________________
_______________________________________________________________________________
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Will a product (report, etc.) be produced using this information? (Yes or No) ___     	

When can the ISS expect a report of findings associated with this information?
_____________________

Are you willing to sign a confidentiality agreement associated with the use of this data? (Yes or No) ____

(Standard Confidentiality Agreement attached)


ISS Data Submission Page

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Please email speleo30@yahoo.com with web page comments and corrections. All other correspondence should be addressed to the ISS via the president.
Page created 15 January 2002, last modified 2 November 2005