COURSE REGISTRATION FORM

Molecular Technologies for the Clinical Laboratory

January 11-15, 2010
May 10-14, 2010

Name
Address
City
State
ZIP/Postal Code
Country
Phone
Fax
E-mail

Please indicate which session you would like to attend:

January 11-15,2010
May 10-14, 2010

Please indicate the appropriate participant category for your registration:

Industry, Medical Professionals, Clinical Laboratory Professionals ($1000)
Undergraduate students, Graduate Students, Post-doctoral Students ($750)