[Histonet] lfigueroaIHCRG Membership Application Form

[Patsy Ruegg]

Verify NSH membership please.

  _____  

From: webmaster <@t> neo.agsci.colostate.edu
[mailto:webmaster <@t> neo.agsci.colostate.edu] 
Sent: Friday, April 20, 2007 10:34 AM
To: patsy.ruegg <@t> gmail.com
Subject: IHCRG Membership Application Form

 

  _____  

New_Application: Yes
Last_Name: Figueroa
First_Name: Lydia
NSH_Member: Yes
Employer: Sakura FinetekUSA
Address: 1047 N Overlook Ridge Rd
City: Diamond Bar
State: CA
Zip: 91765
Province: 
Country: USA
Phone: (800) 7258723
Ext: 7863
Fax: 
Email: lfigueroa <@t> sakuraus.com
Surgical_Pathology: 
Hematopathology: 
Orthopedic: 
Veterinary: 
Immunology: 
Plastics: 
Research: medical device/ industrial- instrument validations studies
Paraffin: Yes
Frozen: 
Cytospins: 
Smears_Touch_Preps: 
Plastics_Sample: 
Sample_Other: 
PAP: Yes
APAAP: Yes
ABC_HRP: Yes
ABC_AP: Yes
SA_HRP: Yes
SA_AP: Yes
IF: 
IHC_Other: 
ISH: 
Gels: 
PCR: 
Mol_Other: 
Automated_IHC: No
Company: Select from list
IHC_Qualification: No
Date_Taken_Exam: 
Like_To_Take_Exam: Yes
Expected_Date: 2008
Can_Provide_Tissues: No
Tissues_Provided: 
Need_Tissues: Yes
Tissue_Needed: Endo carcinoma;HBsAg/HBcAg; CMV; EBV. HSV;melanoma;breast
tumor ;Hodgkins lymphoma, colon carcinoma, HPV
Remote Name: 208.48.224.226
HTTP User Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1)
Date: 04/20/2007
Time: 10:33 AM


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