First name:         Last name:

I agree to include the appropriate NRAO/GBO acknowledgement(s) in the text
of the paper for which I am requesting Publication Support.

Include the appropriate acknowledgement(s) listed below:

The NRAO and GBO Acknowledgment:

"The National Radio Astronomy Observatory and Green Bank Observatory are facilities of the U.S. National
Science Foundation operated under cooperative agreement by Associated Universities, Inc."

The ALMA Acknowledgment:

Additionally, publications making use of ALMA data must include the following statement in the acknowledgement:

"This paper makes use of the following ALMA data: ADS/JAO.ALMA#2011.0.01234.S. ALMA is a partnership of ESO (representing its member states),
NSF (USA) and NINS (Japan), together with NRC (Canada), MOST and ASIAA (Taiwan), and KASI (Republic of Korea), in cooperation with the Republic of
Chile. The Joint ALMA Observatory is operated by ESO, AUI/NRAO and NAOJ."

Please substitute the place-holder project code 2011.0.01234.S with the code of the data used. Have data from multiple projects been used, please specify this as:
"This paper makes use of the following ALMA data: ADS/JAO.ALMA#2011.0.01234.S, ADS/JAO.ALMA#2011.0.02345.S, ADS/JAO.ALMA#2011.0.03456.S. ..."

Choose your affiliation:

I am an NRAO/GBO Employee.

I am a Jansky Fellow. Jansky acknowledgement required:
     "Jansky Fellow of the National Radio Astronomy Observatory."

I am a Reber Fellow. Reber acknowledgement required:
     "Support for this work was provided by the NSF through the Grote Reber Fellowship Program administered by Associated Universities, Inc./National Radio Astronomy Observatory."

I am an NRAO/GBO Student. You are required to include the student affiliation:
     "[Student] / [Summer student] at the National Radio Astronomy Observatory"
     or "[Student] / [Summer student] at the Green Bank Observatory"

I am an NRAO/GBO Adjunct. If you list an NRAO or GBO affiliation in the paper, it must be:
     "Adjunct Astronomer at the National Radio Astronomy Observatory"
     or "Adjunct Astronomer at the Green Bank Observatory"

I work at a US institution but am not affiliated with NRAO/GBO.

Other. (Explanation or justification of hardship need required in the Notes section below for consideration of NRAO publication support.)

Proposal Code(s)†:

Please list additional or unique Proposal Codes in the notes field, separating each entry with a comma.

† Staff author papers without NRAO/GBO telescope data should use 0000.

arXiv Number:

Grant Number: (NRAO/GBO Employees only. Grants administered by NRAO.)

Email address:

Re-enter Your Email:

P.I. Email address:

Re-enter P.I. Email:

Additional Email address:

Re-enter the additional Email:

Notes: (Accepts alphanumeric characters and standard punctuation only.)

The NRAO and GBO Facilities Naming Conventions:

• “NSF's Karl G. Jansky Very Large Array (VLA);” “VLA” in subsequent references
• “Robert C. Byrd Green Bank Telescope (GBT);" “GBT” in subsequent references