MCBL Registration

MCIC Computationa Biology Laboratory (MCBL) mebership form

Before becoming MBCL member, you need to
1. process the membership payment
2. complete and submit this form.

Access to the MCBL, to computer and software resources will not be grated till we receive payment. Once the form is completed and submitted a notification e-mail will be sent to the membership applicant and the PI.

Member Information:
Name:
Title*:
Institution:
Department:
Address:
Phone:
Email:

Pricipal Investigator Information:
Name:
Phone:
Email:

Billing Information:
Billing contact:
Billing phone:
PR number:
Date PR submitted
Membership lenght

Comments:

*master student, PhD student, postdoc, undergraduate, technician, visiting scholar,.....