Axion BioSystems Travel Award
Are you an academic/government/non-profit researcher interested in presenting Axion MEA data at an upcoming scientific conference?

Axion is pleased to announce a Travel Award program to help off-set costs associated with attending. The program is open to researchers world-wide attending a conference in North America or Europe.

Complete the fields below, then press the "submit" button at the bottom of this form.
Sign in to Google to save your progress. Learn more
Email *
About You
Your Name *
Company/University *
In which lab/department is your Maestro MEA system based? *
Tell us about the conference you would like to attend
Name of conference *
Date of conference *
MM
/
DD
/
YYYY
Conference location *
Abstract details
Has your abstract been accepted for presentation? *
Please specify the type of presentation *
Required
Title of abstract *
Please paste abstract text here *
Application area (check at least one) *
Required
What cell model did you use? *
Required
Which platform did you use? *
Required
Which plate type(s) did you use? *
Required
Experimental details
Briefly describe your experimental design *
Briefly describe your MEA results *
How did MEA data influence your conclusions? *
General Comments
If you have any general comments not captured in this form please provide them here *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Axion Biosystems. Report Abuse