MLMC Contreal Light Microscopy Course, July 9-20, 2012 Montreal

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Application for Laboratory Section of July 2012 Course

Submitted by admin on Mon, 01/16/2012 - 15:15.

Applications will be processed on a first-come first-serve basis

A weekly course ($1149.75) includes: morning lectures, afternoon hands-on workshops, laboratory manuals, registration package, lunch, and coffee breaks

First Name: *

Last Name: *

Job Title:

Organization : *

(university, research institute, company)

Department:

Address (Street Number, Street, City): *

Province/State: *

Country: *

Postal Code: *

Email address: *

Telephone: *

Comments, suggestions or special requests.:

If accepted, which sessions would you attend? Choose one.: *

Course Week 1, July 9-13 (Fundamentals) - $1149.75 (includes PST and GST)

Course Week 2, July 16-20 (Frontiers) - $1149.75 (includes PST and GST)

Course - Both Week 1 & Week 2 - $2299.50 (includes PST and GST)

Course Week 1, July 9-13 + Morning Lectures Week 2 only - $1437.19 (includes PST and GST)

Course Week 2, July 16-20 + Morning Lectures Week 1 only - $1437.19 (includes PST and GST)

1. Detail any experience you have in the area of optical microscopy, including any publications.: *

(250 words maximum please)

2. How would the MLMC course benefit you?: *

(500 words maximum please)

3. Please attach a CV to this application (please use your surname as the filename).:

PDF , TXT, or DOC files only (DOCX not compatible)

4. Would you like to bring samples?: *

Yes

No

5. If yes, provide a detailed description.:

(250 word maximum please)

6. Do you have any experience with cell culture techniques and/or transfections?: *

Yes

No

7. Have you ever carried out immunofluorescence?: *

Yes

No

8. Do you have any experience with image analysis? : *

Yes

No

9. Do you have a preference for image analysis software (ImageJ, Metaporph, Imaris, Volocity, ImageProPlus or any other software)?:

Do you have any dietary restrictions?:

Please be specific.

Will you attend the opening reception on the evening of Monday, July 9 (complimentary for Week 1 registrants)?: *

Yes

No

Will you attend the opening reception on the evening of Monday, July 16 (complimentary for Week 2 registrants)?: *

Yes

No

Will you attend the keynote lecture and reception on the evening of Wednesday, July 18 (complimentary)?: *

Yes

No

Will you attend the brunch cruise on Saturday, July 14 (additional charge)?: *

Yes

No

Additional cost over the course fees:
The rates for cruise tickets are $55.19 for adults $33.29 kids 6-12 kids 5 and under 5 are free.

If yes, how many adults will attend?:

$55.19 CDN per adult.

If yes, how many children between the ages of 6-12 will attend?:

$33.29 CDN per child, aged 6-12.

If yes, how many children 5 years old and under?:

Free for children 5 years old and under.

CANCELLATION and REFUND POLICY

A cancellation received before Friday June 8, 2012 is subject to a $50 administrative fee.

Cancellations received after Friday June 8, 2012 are subject to 100% of the course fee.

Registration is transferable subject to approval by the Organizing Committee.

I accept and understand the cancellation policy.: *

Yes

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Application for Laboratory Section of July 2012 Course

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