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Cylinder Rentals

This order form is only valid for compressed gas orders. All other items should be ordered through the new remote order system. If you do not already have one, please request a user id and password.

This is an electronic order form that will be sent to Central Supply at the University of Maine. Please fill out the following information then submit the form. For Information on Central Supply please contact Paul Kosobud or call (207) 581-2704.

TO BE USED ONLY BY DEPARTMENTS WITHIN THE UNIVERSITY OF MAINE SYSTEM
  • Department Information

  • Email is required (if left blank, your order will not reach Central Supply)
  • CYLINDER RENTAL ORDER FORM

  • Special Order Gases
  • AFFIDAVIT

  • By submitting this order form, I do hereby solemnly swear or affirm that the information given above is current and true to the best of my knowledge and is in no way misleading. Furthermore, should any data change in the future, I will ensure that correct information will immediately be submitted to the University of Maine, Central Supply.
  • Comments? Send e-mail To Kosobu@Maine.edu
  • This field is for validation purposes and should be left unchanged.