Registration Application

References

Price Reduced 50% off for direct orders from Editors

Your Application will usually be processed within 3 working days and you will be contacted for questions or clarifications. Please fill in all questions as honestly as possible - we want you to get the most out of your Training - it is YOUR training!! Move the form forward with the scroll bar or mouse - TAB between boxes... ENTER will submit it before you are really ready! Sorry!

First Name
Last Name
Professional Address
City, State, Zip
E-mail
Telephone
Current Employer
Current Position
Which Training Location is best?	Press Control to select if you would like to attend more than one . Scroll through the options.... I am attending the 2nd Annual TPOT Symposium Nov 14, La Jolla, CA and would like the discount for the Multiparameter Course, Nov. 13 at Celgene
	In your own words, what would you expect to get out of this training? When your application is accepted, you will be contacted by email.
Payment Information	Early Registration Basic Course Tuition $450. Please note that our basic course is not an instrument training, and is not instrument specific. It is applicable to any and all instruments. Early Registration Advanced Training Tuition Multiparameter and Compensation Course -Apoptosis, Intracellular Flow, etc. $250 per Course Stockholm Multiparameter Course is 235 EU Late Registration fee will apply if registering after the deadline for each course ( available on the course announcement, linked from the calendar) (please FAX or email your CC number, expiration date, and name as it appears on the card to me at 949-725-3752 - This is not a secure website - THANKS.) Master Card VISA Personal or Company Check My institution requires an Invoice - here's my PO Number - If billing address information is different - please send via email to FloCyte@flocyte.org
Continuing Education Credits	State of California recognizes FloCyte Associates, INC. as an accredited agency offering CEUs for California CLSs.... if you need these or Cytometry Credits for ASCP's Qualification in Cytometry Check here. There is no extra cost, but some responsibilities for documentation. NOTE: If you are a med tech, accredited by another state or agency, it is up to you to determine if the CEUs are accepted there, with no guarantee by FloCyte that they are. These are not accepted by the AMA as CMEs for Physicians. Yes, I'm a California Clinical Laboratory Scientist! Please give me CEUs for this course (12 units for the 2 day courses, 6 units for 1 day courses)
Instruments Used	Press Control to select more than one
How Long have you done flow?
Current Flow Knowledge
Current Use of Flow	Press Control to select more than one Other techniques - List Please
Future Plans	If you plan on using Flow more, what applications are of interest?

If you choose to pay by check, Make checks payable to FloCyte Associates, Inc. and the address to mail to will be provided when your application is accepted. Please call or FAX credit card payment information. Thanks

Payment and Refund Policy

for more information email flocyte@flocyte.org