FX40 Demo Tour Registrations

First Name

Last Name

Phone

Your Email

Institution

Your Supervisor's Name

Your Supervisor's Phone/Email

Choose the venue you would like to attend
Melbourne University 28-30 OctUniversity of Queensland 5-6 NovUNSW 11-13 Nov

Would you like to attend the 'hands on' session?
NOTE: Melbourne Centre for Nanofabrication 'hands on' session is booked out.
YesNo

What type of experiment would you like to run?

Please give us a description of the samples you will be taking in for you experiment. (PLEASE NOTE: No hazardous material will be accepted such as biohazard, toxic, flammable, radioactive and explosive material.)

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