| Salutation |
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| * First Name |
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* Last Name |
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| Title |
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* Company Name |
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| * Address 1 |
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Address 2 |
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| * City |
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* State |
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| * Zip/Postal Code |
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* Country |
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| * Phone |
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Extension |
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| * Email |
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| * Choose the seminar you wish to attend. Click the event city for event details. |
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| October |
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Los Angeles, CA |
10/6 |
Salt Lake City, UT |
10/15 |
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Albany, NY |
10/7 |
Gonzales, LA |
10/20 |
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La Jolla, CA |
10/7 |
Orlando, FL |
10/21 |
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Cambridge, MA |
10/8 |
Ottawa, ON |
10/21 |
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Phoenix, AZ |
10/8 |
Greensboro, NC |
10/22 |
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Trenton, NJ |
10/13 |
Toronto, ON |
10/22 |
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Foster City, CA |
10/14 |
E. Lansing, MI |
10/28 |
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Parsippany, NJ |
10/14 |
Seattle, WA |
10/28 |
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Dallas, TX |
10/15 |
Vancouver, BC |
10/29 |
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| * I plan to attend the following sessions: |
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Morning Session: Ion Chromatography |
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Lunch & Learn Session: Sample Preparation |
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Afternoon Session: HPLC/UHPLC |
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| * Do you currently have Dionex instrumentation in your laboratory/facility? |
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Yes |
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No |
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| * Choose the Product Categories in which you have an interest: |
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Ion Chromatography and RFIC |
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HPLC (Analytical and Prep) |
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HPLC (Micro, Nano & Capillary) |
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Autopurification |
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LC/MS or IC/MS |
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Process Analytical |
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Chromeleon® Chromatography Management System |
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Column Technology |
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Solvent Extraction of Solids |
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Dionex Service and Training |
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| * Choose your primary application area: |
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| * How did you hear about this program: |
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Direct Mail |
Service Representative |
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Internet |
Other:
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Sales Representative |
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| Enter the source code from your mailing label: |
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LCGC_FS09 |
DDD_FS09 |
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ALAB_FS09 |
ADTK_FS09 |
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| Additional Comments |
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