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MLMC Fundamentals 2017

Welcome to the Montreal Light Microscopy Course Fundamentals
February 27th - March 3rd 2017

Please fill out the following fields to best of your ability. A member of the course faculty will be in touch with you shortly
after submitting the form with details about the course.

Contact Information

Last Name *

First Name *

Phone Number *

E-Mail Address *

Current Status *

Please specify: *

Microscopy Course Information

Affiliation Information

Principal Investigator *

Institution/Organization *

Department *

Research & Experience

What is your research area? Check all that apply. *

Biochemistry

Biophysics

Cancer Research

Cell Biology

Immunology

Microbiology

Molecular Biology

Neuroscience

Plant Biology

Other

Please specify: *

What microscopy techniques are you interested in? Check all that apply. *

Imaging in tissue

Live cell microscopy

Photo-manipulation

Quantitative image analysis

Wound healing

Other

Please specify: *

Please summarize your microscopy experience below: *

Payment

How will you be paying for the MLMC Registration? *

FOAPAL ($950)

Cheque ($950 + 5% GST + 9.975% QST = $1,092.26)

Please select all the days you will be attending the course: *

Monday, February 27th

Tuesday, February 28th

Wednesday, March 1st

Thursday, March 2nd

Friday, March 3rd

Do you have any dietary restrictions? *

Please specify: *

Would you come to the Monday evening Wine & Cheese Opening Reception? *

There is no additional cost/charge for attending this event.

Would you come to the Wednesday evening Networking Cocktail? *

There is no additional cost/charge for attending this event.

Leave this field blank

Department and University Information

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