All fields are required unless otherwise noted!

I am interested in:
Fundamentals of MetaMorph - March 10-11, 2009 [no charge]
Advanced MetaMorph - March 12-13, 2009 [Cost: $500]
Fundamentals and Advanced MetaMorph - March 10-13, 2009 [Cost: $500]
Fundamentals of MetaFluor - April 16, 2009 [no charge]
Fundamentals of MetaMorph - August 11-12, 2009 [no charge]
Fundamentals of MetaFluor - September 15, 2009 [no charge]
Fundamentals of MetaMorph - October 27-28, 2009 [no charge]
Advanced MetaMorph - October 29-30, 2009 [Cost: $500]
Fundamentals and Advanced MetaMorph - October 27-30, 2009 [Cost: $500]

For courses with a cost, you will be contacted by email with information on how to remit payment.

Mr. Ms. Miss Mrs. Dr.
Last Name:
First Name:
Business Address:
City:	State:
Postal Code:	Country:
Daytime Phone:
Fax *:	(not required)
Email:

Current Professional Information

Primary Institutional Affiliation:
Professional Status:	Grad. Student (specify expected degree: ) Postdoctoral (degree year: ) Faculty Facilities Manager Technician Other
How did you learn about the course?
What products do you use?	MetaMorph MetaFluor MetaVue
System ID#(s):

Please rank (from 1 to 5) your previous experience and familiarity with the following subjects:
(1= I do not understand anything about the subject. 5= I have extensive knowledge in the subject.)

	1	2	3	4	5
Light Microscopy
Digital Imaging
Computer Hardware
Computer Operating Systems
Microscope Hardware
Meta Imaging Series Software

Required Information

Provide a statement describing your current job responsibilities:

Provide a statement of your expectation of the course (Describe what you wish to get out of the course.):

Optional Information

Please list any dietary restrictions for the lunches provided:* (not required)