Four-Day EIS Course Registration Form

2022 EIS Course Registration

Course Registration

First Name *

Last Name *

Email Address *

Company / Institution Name *

Company / Institution Address *

Company / Institution Address2

Company / Institution Address3

City *

State / Province *

Zip Code / Postal *

Country *

Phone *

Fax Number

Check box, if you are unable to take the course now but are interested in future courses

Unable to take course now

reCAPTCHA

IMPORTANT INFORMATION ABOUT YOUR REGISTRATION

Thank you for registering for the EIS Short Course. We hope that you will find this course both informative and enjoyable. Should you have any questions, please contact Prof. Ray Taylor at srt@uh.edu. If you have not done so, please submit your payment in the amount of $2,450.00 to complete your registration.

Course Payment

Please make payment based on your residency.

Registration is not guaranteed until full payment for the course is received and the online registration form is complete and submitted. U.S. residents can make payment by credit card (VISA, MasterCard, American Express), by hitting the “Purchase Course” button at the bottom of the “Registration Page”. International residents can make payment by calling (215)682-9330. Questions about registration payment can be answered by calling (215)682-9330 or emailing EISCourse@gamry.com. Payment by checks and purchase orders can be mailed to:

The Materials Research Company, LLC
2022 EIS Short Course
5416 Aspen Street
Houston, TX 77277
(713) 432-0278

United States Residents
Pay online with Gamry’s secure checkout
(requires account at the Gamry online store), or United States Residents can call (215)682-9330 with a credit card or send an email for inquiry about other payment options. International residents can either call (215)682-9330 with credit card info or send an email for inquiry about other payment options.