Registration for Small Animal MR Course

Please, fill in the registration form thoroughly!
Registration deadline is Oct 14th 2013!
Course Fee 2000 NOK.

Date Date / MM / DD YYYY
Personal Information
Name Name First Last
Position

Position Master student Doctoral student Post-doc Technician Other
Work Address
Phone
Email
Invoicing Information
Group Leader Group Leader First Last
Invoice Address
Department Code ("stedkode")
Project Number for Invoicing
MRI Background
Previous Experience with MRI
Previous Experience with Animal Research
Briefly describe why this course interests you and what you expect to get out of the course