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	Advancing Magnetic Resonance Diagnostics

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Registration: Pulse Programming Course in Zurich*
(September 13-17, 2010)

Course fee: 2900 EUR (excl. travel expenses and lodging)

Refunds and Cancelations: A refund of the course fee, less Euro 100.- for administration charges, will be made when a written cancellation request is received by GyroTools GmbH 14 days before the course starts. After that day only half of the course fee will be refunded.

Title:
Family name:	**
First name:	**
E-mail-address:	**
Affiliation:	**
Address:	**
Zip/Postal Code and City:
Country:	**
Telephone:	**
Fax:
Questionary:
What is your scientific background:
	physics electrical engineering computer science medicine others:
Which are your major research areas:

Level of knowledge of the sequence development mode on the Philips MR scanner:
	profound good fair marginal none
Which programming languages do you have experience with:
	C C++ Java Fortran Basic/Pascal
Level of knowledge of C programming language:
	profound good fair marginal none
Do you have experience with MR pulse programming?
	yes no
If yes, with which systems (for Philips systems please indicate the release(s)):

Do you have experience with MR sequence design?
	yes no
General Remarks, Comments etc.:

Clinical Science Agreement with Philips Healthcare:
	No Yes *

* This course is limited to research sites with a Clinical Science Agreement with Philips Healthcare.

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