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Questions marked with a * are required Exit Survey
 
 
2017 Bacterial Endotoxin Testing Workshop Registration Form

2017 2-Day BET Photometric and Gel-Clot Workshops
June 6-7, 2017 at ACC Headquarters in East Falmouth, MA
Registration Deadline: May 30, 2017
Attendees are expected to have knowledge of pipetting skills to participate.
 
 
* Name
   
 
 
* Job Title
   
 
 
* Company
   
 
 
* Address
   
 
 
* City
   
 
 
* State
   
 
 
* Zip Code
   
 
 
* Email Address
   
 
 
* Telephone
   
 
 
Fax
   
 
 
 

Course Fee: $1,250
Check method of payment (SSL secure):

 
American Express
 
Mastercard
 
Visa
 
Check, Money Order (payable to Associates of Cape Cod, Inc.)
 
Purchase Order (specify PO #)
 
 
 
 
Name as it appears on the credit card
   
 
 
Credit card number
   
 
 
Expiration Date
   
 
 
Security Code
   
 
 
All course fees are non-refundable.
 

Associates of Cape Cod, Inc.

124 Bernard E. Saint Jean Drive, East Falmouth, MA 02536-4445

www.acciusa.com | 888.395.2221