Rigaku is dedicated to our customers and their research activities.
Together with our training classes, demonstrations and our strong
service team, Rigaku is always willing to go the extra mile for our customers.
If there are any questions, concerns or general advice, please feel free to
contact anyone at Rigaku.
We always have time to listen.
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Macromolecular training registration form
| NAME: |
___________________________________________________ |
| INSTITUTION: |
___________________________________________________ |
| BILL TO ADDRESS: |
___________________________________________________ |
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___________________________________________________ |
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City |
State |
Zip Code |
| PHONE/FAX/E-MAIL: |
___________________________________________________ |
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Session:
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_______ October 27-29, 2010 |
FEES:
- $1500 Single Participant (3 days)
- $1,100.00 each additional participant, same institution (3 days)
- $500.00 single participant (1 day)
- $400.00 each additional participant, same institution (1 day)
If not attending all three days, please indicate the days you will attend: ___ Day 1 ___ Day 2 ___ Day 3
METHOD OF PAYMENT:
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Check (made payable to Rigaku) |
| _______ |
Credit Card (please circle which type:
Visa, American Express or Master Card) |
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Number:
__________________________________________ |
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Name on Card:
__________________________________________ |
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Expiration Date:
__________________________________________ |
| _______ |
Payment being processed: PO# (please send
a hardcopy PO with your registration form)
______________________________ |
All training fees must be paid directly to Rigaku, amounts shown are US
Dollars. Fees may be paid by purchase order, credit card or check. Please
indicate above your method of payment.
Please list any special dietary requirements (Diabetic, Vegetarian, Kosher,
etc.):
Arrival Day/Date ____________________ Departure Day/Date
_____________________
Flight/Time ____________________ Flight/Time _____________________
Denise Baker
Rigaku Americas Corporation
9009 New Trails Dr.
The Woodlands, Texas 77381-5209
(281) 362-2300 ext. 132
(281) 364-3628 Fax
All classes are held at the Rigaku Applications Laboratory in The
Woodlands, TX.
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