2018 Course Registration

The on-line interactive course modules are presented June-July-August.



Method of Payment: (select one) 1) check____, 2) credit card____, 3) other____

Deadline to register for sessions is May 15, 2018.


1) Register for course by mail:
a) Send a check with your completed registration form.
(Check must be received and have cleared the bank before registration is considered paid.)
b) Print (download) this form, send the completed form with payment to Dr. Robert P. Ellis, Course Chairman.

Make check payable to “Biosafety and Biosecurity Course”: Send payment to:

Dr. Robert P. Ellis
Infectious Disease Annex (IDA), Campus Mail Stop 1690
Colorado State University
Fort Collins, CO USA 80523-1690

Or,

2) Register for course and pay by credit card:
a) Print (download) this form and send the completed form to robert.ellis@colostate.edu, Dr. Robert P. Ellis.
b) Pay by credit card: To credit card payment button at bottom of page

Or,

3) Register for course by using another form of payment:
a) Print (download) this form and send the completed form to robert.ellis@colostate.edu, Dr. Robert P. Ellis.
b) Contact Dr. Ellis by email robert.ellis@colostate.edu, or phone (970-567-6607), to make arrangements to use another form of payment.


Please register for the course by completing the following form information; send information to Dr. Ellis:

For what sessions are you paying?
a) General + Animal + Plant Sessions ($2100) ________
b) General + Animal Sessions ($1600) ________
c) General + Plant Sessions ($1600) ________
c) General Only Session ($1000) ________
d) Animal Only Session ($700) ________
e) Plant Only Session ($700) ________

Name:_______________________________________________________________________________

Affiliation:____________________________________________________________________________

Department of Affiliation: ________________________________________________________________

City:_________________________________ State:________ Zip/Country:_________________________

Phone:_______________________________________

E–mail: (type or print)____________________________________________________________________


*Payment by credit card. Complete both Step a) and Step b):
Step a) Make your payment by credit card at Box 1 or Box 2, below.
Step b) Email to, Dr. Ellis, your registration information from the above form.

Box 1. Select your sessions from the drop down window, and pay at the button in box number 1.
If you are paying for someone else please insert their name and email in the comment box.
Or
Box 2. If you are paying a varied amount (for example: an amount not listed in Box 1.), pay at the button in box number 2.
If you are paying for more than one person, pay with the button in box number 2.

Note: Once you have clicked on a “Pay Now” button, the option to pay with a debit or credit card is near the bottom of the next screen(s). You do not need an account to use the debit or credit card payment option.


1. Select a Section to Attend
Comment





2. Sessions to be attended
Names of registrants



REFUND POLICY: Registration fee full refund less 5%, if requested within 45 days of deadline; 50% refund from 44–22 days before deadline; no refund if requested 21 days or less before deadline.