Summary: Request for billing account for MRL Recharge Facilities
For experiments performed by UCSB Recharge Staff
I. ACCOUNT INFORMATION
COMPANY TAX ID #: _____________________________________________
BILLING CONTACT NAME:
BILLING ADDRESS (if different from above) :
II. TERMS AND CONDITIONS
The Regents of the University of California shall bear no responsibility for project
development or success. Institution shall bear complete responsibility for success or
failure of project. Institution is responsible for payment of facility fees in accordance with
the UCSB fee structure, (at:
Fees shall be paid in a timely manner, regardless of project outcome.
This Agreement must be signed by an officer of Institution with signature authority.
Officer's Name: ____________________________ Title:_______________________________