Hands-on Training Course Registration Form

step 1: Please select the course(s) you want to register for.
step 2: Manually enter the number of students registering for each selected course.
step 3: Chose the appropriate course date from the drop down list.
step 4: Fill out the contact information form below (all fields are required to be completed).
step 5: Submit the completed form elctronically or print it and send by mail along with payment.

*Registration confirmations will be sent out electronically once submitted information is processed.

Advanced Agilent 1100 LC/MSD course (H8981A)

Select Course

 # Students Course Date Course Fee
$3238.00

Advanced Agilent 1100 LC/MSD Trap course (H8982A)
$3238.00

Advanced Agilent 6410 LC/Triple Quad course (R1657A)
$4000.00
Total

Name:
First Name - Middle Initial - Last Name
Organization:
Street Address:
 
City, State, Zip:
Country:
Telephone::
Facsimile::
EMAIL:
 

Check here if you have a disability and may require accommodation to fully participate.

     

Make Cheques Payable to:
LCMS Limited

* Cheques must be drawn in US dollars from United States Banks.
* Registration in the course will be confirmed via email once payment is received.

Credit Card Orders:
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Card Type: Card Number:
  Choose card from pull down menu

Expiration Date:

Signature:

 
If registering my mail, please send the completed form, with full payment to:
    LCMS Limited
    P. O. Box 27228
    Raleigh, NC 27611-7228
    USA
*Once received, confirmation will be send electronically to the email you provided.