CNF TCN Registration Form

FOR DATES: June 5-8, 2012

main page
detailed schedule (Coming Soon!)
mandatory dress code

The class size is limited to 30 participants because of the hands-on lab activities
Check the schedule (coming soon!) and if you have any preferences for your lab groups, state them in the message box.
COST PER PERSON: Academic/Government Rate $425 / Industry Rate $850
Your spot is not guaranteed until your payment is received and verified via email from Rebecca Vliet, [email].
If you are paying with a CNF or Cornell account, we will notify the PI or accounts representative of the charge. You must put your PI or accounts representative contact information in the "Message" box below!
If you are paying with a check, make the check payable to "Cornell University" and write "CNF TCN" in the memo line.
If you are paying with a credit card, fill out your registration information, choose your fee rate, skip the part about "If paying by CNF/Cornell Account" and click on "send registration" -- the next page will have a link to the credit card payment options.
A waiting list will be maintained in case of cancellations.

Enter your registration information in the areas provided below. Please Properly Capitalize! The * (starred) information will be dropped right into your name tag!
*First Name:**
Last Name*:
Email:
Institution*:
Department*:
Work Address:
City:
State:	Zip/Postal:
Daytime Phone:	(please include area code)
Your Fee Rate:	ACADEMIC/GOVERNMENT INDUSTRY

Your Method of Payment:	CNF/Cornell Account Number Credit Card (You must notate your FULL NAME and CNF TCN on the payment form. Thank you!) Personal Check


IF PAYING BY CNF/ CORNELL ACCOUNT:	CNF Project # CNF/Cornell Account #
ALSO: You must put your PI and/or accounts representative name, email and phone here! LUNCH IS PROVIDED each day. If you have any specific food needs, let us know here.
IF PAYING BY CREDIT CARD, CLICK ON "SEND REGISTRATION" BELOW. THE NEXT PAGE HAS THE LINK TO THE CREDIT CARD PAYMENT OPTION.