MIT.nano Access Request Form (revised)

Requester Information

Work Contact

External user additional info

Has your organization/department recently set up a profile and PO with MIT.nano?

Billing Information

Please note that all purchase orders must include all users’ names and the following disclaimer: Processing at MIT.nano is carried out on a reasonable basis. Users will be charged for time and materials as incurred. No warranty is implied regarding process steps or final device performance. The requester assumes responsibility for all process charges within 30 days of receipt of the invoice. Processing will be halted for delinquent accounts, and lab access rescinded.
One file only.
20 MB limit.
Allowed types: pdf.
Billing account information


Do you have an MIT ID number?
Select 'Yes' if you have ever had one in the past, e.g. as a student or previous MIT affiliate.

MIT ID number and card info

If you do not remember the number, please enter "don't remember."
Do you have a current MIT ID card?
Do you have a Kerberos username (i.e., an MIT email account)?
Select 'Yes' if you have ever previously had an account, even if it is currently inactive.

Kerberos ID and password

If you do not remember your Kerberos username, please enter "don't remember."
Kerberos password