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HANDS-ON COMPREHENSIVE CELL INJURY/CELL
DEATH IMAGING WORKSHOPS

Mail: Biomedical Diagnostics & Research, Inc., 625 S. Plumer Ave., Tucson, Arizona, 85719 or Fax: 296-8223. For more information, call 885-0662.

You may also submit this Registration Form online.

Registration Form

Name of Participant:

Title (select one):

Please Indicate 3 Workshop Dates in Order of Preference to Facilitate Scheduling:

Choice 1:       Choice 2:       Choice 3:

Department:

Institution:

Telephone #:

e-mail address:

Fax #:

Account # for billing purposes:

(Note: Receipt of payment in full required 2 weeks prior to the selected date of the workshop)

Dietary Restrictions (if any):

Reason for Taking Workshop::

(Note: this will aid in tailoring the tutorials to the needs of the 4 participants)

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