Hands-on Training Course Registration Form

step 1: Please select the course(s) you want to register for.
step 2: Manually enter the number of students registering for each selected course.
step 3: Chose the appropriate course date from the drop down list.
step 4: Fill out the contact information form below (all fields are required to be completed).
step 5: Submit the completed form elctronically or print it and send by mail along with payment.

* Confirmation of course registration will be sent out electronically once submitted information is processed. Payment in full is required prior to the start of the course.

* Students' samples should be shipped to "LCMS Limited, 1502 West NC-54, Suite 504, Durham, NC, USA, 27707" and should be sent to arrive prior to the start of the course.

Advanced Agilent 1100 / 6100 Series LC/MSD course (H8981A)

Select Course

# Students Course Date Course Fee

Advanced Agilent 1100 / 6300 Series LC/MSD Trap course (H8982A)

Advanced Agilent 6410 LC/Triple Quad course (R1657A)

First Name - Middle Initial - Last Name
Street Address:
City, State, Zip:

Check here if you have a disability and may require accommodation to fully participate.


Make Cheques Payable to:
LCMS Limited

* Cheques must be drawn in US dollars from United States Banks.
* Registration in the course will be confirmed via email once payment is received.

Credit Card Orders:
Visa Mastercard American Express

Card Type: Card Number:
  Choose card from pull down menu

Expiration Date:


If registering my mail, please send the completed form, with full payment to:
    LCMS Limited
    P. O. Box 27228
    Raleigh, NC 27611-7228
*Once received, confirmation will be send electronically to the email you provided.