Q-Chem Workshop 2011

March 26, 2011
Anaheim, CA
 
Workshop Home Schedule Tutorial Place Registration

Deadline for Registration is February 28, 2011:
Name:

Institute/Company:
 
Department:
Email:
Address:
The registration fee is $50 (covers continental breakfast and lunch). The fee is fully refundable if the cancellation is made before February 28, 2011. Please choose one of the payment methods below:
Check
Make a check payable to Q-Chem Inc.  Please send it to:
Q-Chem Inc.
The Design Center, Suite 690
5001 Baum Blvd.
Pittsburgh, PA 15213
Credit Card
BY PHONE: Pay with a credit card by calling Q-Chem office at 412-687-0695, between 10am-4pm (EST), Mon-Fri.
Credit Card
ONLINE: You will pay on the next page after submitting this form.

Waiver Request:
Please state the reason below:
Workshop Home Schedule Tutorial Place Registration

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