Biotechnology Training Courses at the National Institutes of Health
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Bio-Trac Fall 2010 Registration Form

TRAC
FEE
With DVD COURSE TITLE
Trac 1
$850
5 DAY
 $990
Trac 10
$850
5 DAY
 $990
Trac 16
$750
3 DAY
 $890
Trac 18
$850
5 DAY
 $990
Trac 23
$795
4 DAY
 $935 Flow Cytometry: Principles and Methods
Trac 24
$850
5 DAY
 $990 DNA Microarrays: Fabrication and Applications
Trac 25
$850
5 DAY
 $990 Proteomics: Principles and Methods
Trac 28
$850
4 DAY
 $935 Angiogenesis
Trac 30
$850
5 DAY
 $990 Small Interfering RNA (siRNA) and Functional Genomics
Trac 31
$750
3 DAY
 $890
Trac 38 $750 3 DAY
$890
 Digital Imaging in Microscopy
Trac 39 $850 4 DAY
$935
 Epigenetics
Trac 40 $750 3 DAY
$890
 Protein Bioinformatics
Trac 41 $750 3 DAY
$890
 miRNA

Contact Information
Name (first, middle initial, last )

 Name of Institution, Government Agency or Company

Department, Building and Room Number

Street Address

City, State, Zip

Home Address - Street, City, State, Zip

email

SS# (last 4 digits)
Date of BirthDegree

PHONE (Evening)(Day)

Tuition

Tuition Enclosed $_________
Full tuition must accompany registration form.

Payment Type :
Check - payable to FAES
Training Form
Credit Card: VISA MasterCard

Card#
Exp. Date

Authorized Signature_____________________________
SEX:Male Female
(Required by the State and Federal Governments)

The FAES does not discriminate on the basis of race, color, religion, sex, age, handicap, national or ethnic origin or veteran status, in administration of its educational policies, admissions policies, scholarship programs, and other educational programs. FAES: 301-496-2316
Comprehensive Binder Included: Contains all notes, protocols, and reference material needed. No additional books are required. Academic Credit: Although no grades are given for BIO-TRAC courses, a registrant completing a lecture/laboratory course will earn two credits, or one credit if taking the lecture portion only. 3-day training courses also are one credit. Upon completion of each TRAC, a certificate is issued.

We currently do not take online payments

If Paying by Cedit Card
Fax Registration form along with credit card information to the FAES, Attn: Ms. Bea Sonnenberg (Bio-Trac Registrar) at 301-402-0174

If Paying by Government Training Authorization Form (SF-182)
Print out and mail registration form along with original training authorization form to:

Ms. Bea Sonnenberg
Bio-Trac Registrar
FAES/NIH
One Cloister Court
Bldg. 60, Rm 237
Bethesda, MD 20814-1460

Please note: We cannot accept SF-182 forms via fax.

Registration forms can also be hand delivered to building 60, room 237 on the NIH campus. Our hours of operation are 8:30 - 4:00 - Mon - Fri.

Bio-Trac Refund Policy

1.  100% tuition refund is available for registrations cancelled 14 or more days prior to the start of the workshop.

2.  50% tuition refund is available for registrations cancelled between 4 to 13 days prior to the start of the workshop. Instead of a partial refund, you may elect to take a full workshop credit, which can be applied to another Bio-Trac program of similar length. 

3.  No refund is available for registrations cancelled 3 days or less prior to the start of the workshop.  A full workshop credit will be available to you, which can be applied to another Bio-Trac program of similar length.

All cancellations must be received in writing via fax to the FAES office, Attn. Ms. Bea Sonnenberg; Bio-Trac Registrar 301-402-0174 during normal business hours (8:30 – 4:30 EST).  Those received after hours are time marked for the following day.

In the case of situation numbers 2 or 3, you must indicate whether you are opting for the full credit alternative at the time of written cancellation. In both cases, all payments will be processed by the start of the initial workshop.

Bio-Trac DVD Orders
1. DVDs are only being made available for purchase to class participants

2. DVDs will be shipped within 10 days after the conclusion of the program.

3. All riights reserved, unlawful to duplicate or distribute to others.

4. FAES will accept payment via credit card or check, SF182 forms cannot be accepted for DVD purchase.

5. Please contact Mark Nardone at 301-496-8290 or nardonem@mail.nih.gov regarding any inquiries

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Biotechnology Training Courses at the National Institutes of Health
Sponsored by the Foundation for Advanced Education in the Sciences