Database Search Request Form

ATTENTION: This form cannot be used for online submission. Please print this form and mail to Don Webb at 5353 Manhattan Circle, Suite 202, Boulder, CO 80303 or Call 303-554-9493 ext. 11

Note: CU-BAC cannot be responsible for confidential or proprietary information transmitted to our electronic mail box via this form (i.e., credit card numbers or proprietary company information). If your search request involves this type of information, please contact the Center by telephone to arrange a more secure form of transmission. Call Dr. Donald Q. Webb at 303-554-9493.  

Company        
Contact Person    Title 
Street Address    City  
State             Zip   
Telephone         Fax    

Business Profile

Product or Service: 
Technology or Research Area (if appropriate): 
Years in Business: 
Number of Employees: 
Legal Form: 

Please provide as much of the following information as possible. Before the search is conducted, BRAIN staff will contact you by telephone to clarify this information and help target your search. 

1. What information is needed and for what purpose:

2. What are some synonyms, closely related descriptive terms, or key words that would indicate search areas? 

3. Have you already attempted to find this information? If so, where did you look and what (in general) did you learn? 

4. What language restrictions apply? English Other: 
5. What time span should be covered? 
6. Payment for services is due at the time of the search. Requestor agrees to be responsible for search costs up to $ and authorizes charges to the following credit card: 
Credit card number: 
Expiration date: 
Name of card holder:   

 

The CU Business Advancement Center addresses some databases as an affiliate of the NASA Mid-Continent Technology Transfer Center located at Texas A College Station, TX. It is understood that CU-BAC and MCTTC have no indications or reasons to believe that there are inaccuracies in the data or services furnished. However, they make no representations or warranties of any kind as to the fitness for a particular purpose or the merchantability of the data or service provided to the client, and they shall not beliable for incidental, consequential damages or lost profits. In no event shall CU-BAC or MCTTC's liability to the customer for damages exceed the value of the information search as charged by CU-BAC.