Registration Form

Both days of the workshop are free. There is no registration fee.
Title:  Full Name:
E-mail Address: Work Phone:
Cell Phone:
University, Institution, Company:
Mailing Address:
City:  State:  Zip Code :
Country:
 
Please answer a few questions: 
Your research laboratory web site:
Your primary area of interest:
Do you presently have a spectrofluorometer in your laboratory?: Yes No
If yes, which fluorescence system(s) do you use for your research:
 
Abstract Submission Options: We encourage participation and networking to gain valuable insight into the vast fluorescence expertise of the researchers and application scientists attending FluoroFest 2015. Please submit a title and short abstract to: susan.weidele@horiba.com
 
When submitting the abstract via e‐mail, the subject line should include “Abstract FluoroFest 2015 along with your name”.
I would prefer to attend FluoroFest 2015 and not submit an abstract
I would like to submit an abstract for the poster sessions during FluoroFest 2015
I would prefer consideration as an oral presentation
I would prefer consideration for both the poster sessions and oral presentation
I'd like to bring a sample to run! I'll provide the experimental details when contacted
     by an application scientist from HORIBA Scientific.
 
Click on "Register" when completed, or print out and e-mail form to: susan.weidele@horiba.com
Toll FREE Telephone: 866-562-4698

See you in Cambridge at FluoroFest 2015!