Human Clinical Workshop Registration Form (October 2, 2017)
The fee for participating in this workshop is $900. This includes all meals and beverages. If you register before September 18, 2017, you will benefit from our early bird rate of $700. A $700 discount will be given towards the installation and training of a new system purchased within three months of the workshop.
Full Name
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Institution Name
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Lab Principal Investigator Name
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Address
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Mobile Phone Number
This is very important for any last minute communications.
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Email Address
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Subject Type
Please indicate the type of subject involved in your research (human, NHP, mice).
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Please tell us a bit about your research.
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Do you have any dietary restrictions?
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What are your expectations from this workshop?
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Preferred Payment Method
Do you have any special requests?
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