| Title: Full Name: |
| E-mail Address: Work Phone: |
| Cell Phone: |
| University, Institution, Company: |
| Mailing Address: |
| City: State: Zip Code : |
| Country: |
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| 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: |
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| 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 2012. Please submit a title and short abstract to: susan.weidele@horiba.com |
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| When submitting the abstract via e‐mail, the subject line should include “Abstract FluoroFest 2012 along with your
name”. |
| I would prefer to attend FluoroFest 2012 and not submit an abstract |
| I would like to submit an abstract for the poster sessions during FluoroFest 2012 |
| 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. |
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Click on "Register" when completed, or print out and e-mail form to: susan.weidele@horiba.com
Toll FREE Telephone: 866-562-4698 |
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