COURSE REGISTRATION FORM

Molecular Technologies for the Clinical Laboratory

January 16-20, 2012
May 14-18, 2012

NOTE: Please be sure to set your browser to either Internet Explorer or Safari to complete this form. Thanks!

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

Please indicate which session you would like to attend:

January 10-14, 2011
May 9-13, 2011

Please indicate the appropriate participant category for your registration:

Industry, Medical Professionals, Clinical Laboratory Professionals ($1200)
Undergraduate students, Graduate Students, Post-doctoral Students ($900)

    


The BTC Institute will share your contact information with course sponsors, if so requested, unless you specifically advise us (BTC Institute) to keep that information confidential.