SEE MORE IN REAL-TIME WITH AN AGILENT TRAVEL GRANT

All entrants who register and participate in this promotion will be automatically entered into the random Grand Prize drawing of a Travel Grant valued at up to $3,000.00 (USD). The Travel Grant will include certain expenses for the winner to visit an Agilent lab or attend a FT-IR related scientific conference, including a round-trip airline ticket, conference registration fees, hotel accommodations, and round-trip transportation from airport to hotel/hotel to airport. Have the opportunity to learn more about real world applications of FT-IR, network with peers, and get to know the Agilent team. Take the next step and register now! Click here for terms and conditions.

REGISTER NOW

Please answer the following questions to register for the e-seminar and enroll in the random drawing to receive up to $3,000 in a travel grant on behalf of Agilent Technologies.

(* required fields)

Salutation*:
First Name*:
Last Name*:
E-mail*:
Phone*:
Title*:
Department*:
Company*:
Job Function*:
Mailing Address*:
City*:
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Zip/Postal Code*:
Country*:	--Please Select--AFGHANISTAN AFRICA ALGERIA ARGENTINA ARUBA AUSTRALIA AUSTRIA BAHAMAS BARBADOS BELGIUM BELIZE BERMUDA BHUTAN BOLIVIA BRAZIL CAMBODIA CANADA CHILE CHINA COLOMBIA COSTA RICA CROATIA CYPRUS CZECH REPUBLIC DENMARK DOMINICAN REPUBLIC ECUDADOR EGYPT EL SALVADOR ESTONIA FINLAND FRANCE FRENCH POLYNESIA GERMANY GREECE GREENLAND GUADELOUPE GUATEMALA GUINEA HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KOREA, REPUBLIC OF KUWAIT LATVIA LEBANON LITHUANIA LUXEMBOURG MACEDONIA MALAYSIA MALTA MEXICO MICRONESIA NEPAL NETHERLANDS NEW ZEALAND NICARAGUA NIGERIA NORWAY OMAN PAKISTAN PALAU PANAMA PERU PHILIPPINES POLAND PORTUGAL ROMANIA RUSSIA SAUDI ARABIA SINGAPORE SLOVENIA SPAIN SWEDEN SWITZERLAND TAHITI TAIWAN THAILAND TURKEY UNITED KINGDOM UNITED STATES URUGUAY VENEZUELA YUGOSLAVIA ZIMBABWE 1

Do you currently run an FT-IR system in your laboratory?*

Yes No Not Sure

If yes, what company manufactures the FT-IR?

Varian Bruker PE Jasco Thermo Shimadzu Other:

What FT-IR technique(s) do you use? Please check all that apply.*

Transmission	Microscopy
PEM-IRRAS	Reflection
Imaging	PAS
Step Scan	ATR
ATR Imaging	Other:

What other analytical instrumentation do you use in your lab? Please check all that apply.*

UV-Vis	UV-Vis-NIR
Fluorescence	Other:

Are you considering the purchase of an FT-IR system?*

--Please Select--YesNoUndecided

If yes, what is your purchase time frame?*	--Please Select--0-6 months6-12 monthsGreater than 1 year
Has the budget been approved for the purchase of an FT-IR system?*	--Please Select--YesNoUndecided
What role will you play in the final purchasing decision?* --Please Select-- I will collect information and pass it to others to decide I will review information and recommend a system to a superior to authorize" I have the ability to authorize the purchase of a system I am part of a committee that will make the final decision

I have read and accept the terms & conditions of the Agilent Travel Grant Sweepstakes.*

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