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If you have any questions, comments, please fill out the form below and a BTI representative will be in touch with you shortly.

GENERAL INFORMATION
 
Your Name: REQUIRED
 
Email Address: REQUIRED
 
Laboratory Name:
 
Address:
 
City, State Zip:
 
Phone & Fax: PHONE REQUIRED
  
 
Where Did You Hear About Biogenic Technical Institute?
 
 
TRAINING INFORMATION
 
Have you attended a BTI laser training class before? (If yes, what level of class?)
 
What level of class are you interested in attending?
 
What date are you interested in attending?
 
If that class is full, do you have a second choice?
 
How many people will be attending?
 
What are the attendee's names?
 
Are the attendees coming for hands-on or observation?
 
What responsibilities do the attendees hold at the laboratory?
 
HOTEL ACCOMMODATIONS
 
Number of rooms?
 
Single or double occupancy?
 
Smoking or non-smoking?
 
COMMENTS AND QUESTIONS
 
 
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