HERBARIUM DEPOSITION FORM
U.S. National Fungus Collections (BPI)
Systematic Mycology and Microbiology Laboratory
USDA-Agricultural Research Service
Room 229, Building 010A
10300 Baltimore Avenue
Beltsville, MD 20705-2350 USA
301-504-6921, FAX 301-504-5810
HerbariumBPI@ars.usda.gov
| Data supplied on this form are of scientific importance; they will be entered into the BPI specimen database available on the Internet and used to generate specimen labels. |
| Scientific name & authority | ______________________________________________________ |
| Scientific name of host | ______________________________________________________ |
| Substrate/Plant part | ______________________________________________________ |
| Country | ______________________________________________________ |
| State & county | ______________________________________________________ |
| Additional locality data | ______________________________________________________ |
| ______________________________________________________ | |
| ______________________________________________________ | |
| Lat./Long., Elev. | ______________________________________________________ |
| Habitat | ______________________________________________________ |
| Date collected | ______________________________________________________ |
| Collector(s) | ______________________________________________________ |
| Collection number | ______________________________________________________ |
| Determiner | ______________________________________________________ |
| Is this a Type specimen? | ______________________________________________________ |
| Other herbarium numbers | ______________________________________________________ |
| Isolation data | ______________________________________________________ |
| Culture/GenBank numbers | ______________________________________________________ |
| Literature citation | ______________________________________________________ |
| Depositor | ______________________________________________________ |
| Institution | ______________________________________________________ |
| Address | ______________________________________________________ |
| ______________________________________________________ | |
| ______________________________________________________ | |
| Date | ______________________________________________________ |