LEEF Training Registration Form

Note: In order to register for the LEEF training, you must:

     1. Have a LEEF award.
     2. Have placed a LEEF order before the training session.

If you are registering a group of participants, submit this information separately for each person.

Session for which you are registering*:

5 Day Session - June 7-11, 2010
3 Day Session - Dates listed here.

Certificate Number*:

First Name*:
Last Name*:
Organization*:
Department*:
Address*:
Address:
City*:
State*:
Zip Code*:
Phone*:
Fax:
E-Mail*:

So that we can better structure our training sessions, please answer the following questions:

1. Have you used a gas exchange instrument in the past? Yes No
If yes, which instrument(s)?

2. Rank your experience in plant gas exchange, with 1 being no experience and 5 being highly experienced.
1 2 3 4 5

3. Will you be sending your instrument in advance, or will you bring it with you? We recommend that you send your instrument a few days in advance so that we can check it over for you.
Will send Will bring

4. Any additional comments, suggestions:

*Required information

Please contact the training coordinator with any registration or reservation questions. The coordinator will contact you with your confirmation and provide you with additional information upon receipt of this form.

 


Biotechnology
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Email: biohelp@licor.com
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Toll-Free: 800-447-3576
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