Biotechnology Training Courses at the National Institutes of Health
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Bio-Trac Summer 2009 Registration Form

TRAC
FEE
COURSE TITLE
Trac 2
$850
5 DAY
Trac 19
$750
3 DAY
Trac 26 $795 4 DAY PCR Methodology: Principles, Optimization and Applications
Trac 29
$795
4 DAY
 Laser Capture Microdissection: Methods for Microgenomic Analysis
Trac 32
$750
3 DAY
Trac 33
$850
5 DAY
Trac 37 $795 4 DAY Real Time and Quantitative PCR
Trac 38 $750 3 Day Digital Imaging in Microscopy

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.

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