Workshop Date: June 12 - 13, 2014
Location: Harvard University, Boston, MA
Registering as a:

• Student and early registration: $250
• Delegate and late registration: $350



Please fill in this information

Title:  Full Name:

E-mail Address: Work Phone:

Cell Phone:

University, Institution, Company:

Mailing Address:

City:  State:  Zip Code :

Country:

Please answer a few questions:

Your primary area of interest:

Do you presently use Raman in your laboratory?: Yes No

If yes, which Raman system(s) do you use?:

What is your planned graduation date?(Applies to Students, only):

We are planning a gala dinner on Thursday evening. The cost to attend is only $50. You will be able to pay in advance with your registration. Please let us know if you're attending: Yes I would love to attend. No, sorry, I cannot attend.

Check here if you wish to pay by check: (Please note: check must be received no later than March 31st, 2014 for registration to be confirmed.) Please make check payable to: HORIBA Scientific 3880 Park Avenue Edison, NJ 08820 Send to the attention of: Joanne Lowy

To pay by credit card, you will be directed to a secure site, after you hit the submit button: Please hit "Submit" when completed, or e-mail form to: susan.weidele@horiba.com Toll FREE Telephone: 1-866-562-4698

Once payment is processed we will send you a receipt to the email you have provided above. Thank you, and see you in Boston in June 2014!