qPCR Workshop Registration Form

    Quantifying nucleic acids by real-time PCR

    * indicates required field

    * Title

    * First name

    * Last name

    * Organisation

    * Job title/position

    * Work address

    * Post code

    Address for correspondence (if different)

    * Telephone number (include international code if outside the UK)

    * Email address

    * Retype email address

    * How did you hear about us?

    If other please specify

    *Are you from an academic institution or industry?**

    *How will you pay? ***

    ** An academic institution is defined as a university or publicly-funded research institute. NHS laboratory workers may also register under this category. All other organisations are defined as industries.

    *** Please indicate your preferred payment method here. Cheques must be in sterling and drawn on a UK account. Upon completion of registration you will be sent a confirmation email including the address to which cheques should be sent and account details should you wish to pay by bank transfer. If your registration fee will be paid by your institution, please tick 'bank transfer' and email us to request an invoice once you have submitted this form.

    By submitting this form you confirm that you have read the Terms and conditions of registration

    Please check that you have completed all required fields. If the form fails to be sent once you have pressed the button below, scroll up to check you have no missing fields, which will be indicated in red.

    Dr Patricia de Winter