Workshop Registration 2016

Thanks for your interest on the 2016 workshop on FRET and FLIM microscopy. Register now, your seat will be secured. Payment is not required for registration. We will contact you later regarding the tuition fees.

Please fill out following form, field(*) must be completed. Please make sure to give CORRECT Email address. We will send information only through your Email:
Note: Please DO NOT have any single quote (') in your text when you fill out the form, it may cause error when you submit.

Tuition Fees: $2200 for non-profit organizations, $2600 for for-profit organizations
Cover lodging (March 9-13, 5 nights), breakfast, lunch, dinner, lecture notes, supplies

Email Address(*, Only One)
First Name(*)
Last Name(*)
Gender(*) Male Female
Day Time Phone(*)
Alternative Phone
Zip Code(*)
Do you have a microscope?
If so, please give the name.
Are you vegetarian? Yes No
Do you have any experience in FRET microscopy? Yes No
If so, please describe your experience in the Comments field.
Comments(Your background on FRET, your interest, what you want to learn from the workshop. We appreciate if you tell us where you heard about the workshop (friend, website...))