Training Support Program Logo

Fill Out An Application

Participants must complete an application. Eligibility for this program is subject to approval and verification.

All questions marked with an asterisk are required. Our program is available to customers in the United States and Canada. Qualifying participants receive a 50% discount on current list prices up to a total of $2,000 in product discounts per course. Products may be purchased in multiple orders. Discount applies only to catalog list prices and will not transfer to ‘special offers,’ institutional discount pricing or items stocked in Promega Helix® cabinets or freezers.

NA 2020 Training Support Program Application
First Name*
 
 
Last Name*
 
 
 
Email*
 
 
 
Phone*
 
 
 

Shipping Information:

 
 
 
Company/Institute*
 
 
 
Street Address*
 
 
State/Province*
 
 
 
Country US/CA*
 
 
Zip Code*
 
 
 

Course Information:

 
 
Course Title*
 
 
 
Course Description*
 
 
 
Course Start Date*
 
...
 
Course End Date*
 
...
 
 
Academic Level:*
 
 
Number of Students*
 
 
 
How did you hear about the program?
 
 
 
How Promega products will be used in the course:*
 
 
 
Product Request: 

Review the current Product Online Catalog (www.promega.com/catalog), identify the items you wish to purchase for your laboratory course and enter them into the text box below. Shipping is free for all orders over $2,000.


Please enter each product on a new line. Include each product's Catalog # and Quantity. Please add all products needed for your course, even if you do not plan to order them all at one time. These will be included on a quote. 
Catalog Number*
 
 
Product Name*
 
 
Quantity*
 
 
Catalog Number
 
 
Product Name
 
 
Quantity
 
 
Catalog Number
 
 
Product Name
 
 
Quantity
 
 
Catalog Number
 
 
Product Name
 
 
Quantity
 
 
Catalog Number
 
 
Product Name
 
 
Quantity
 
 
Catalog Number
 
 
Product Name
 
 
Quantity
 
 
Catalog Number
 
 
Product Name
 
 
Quantity
 
 
Catalog Number
 
 
Product Name
 
 
Quantity
 
 
Catalog Number
 
 
Product Name
 
 
Quantity
 
 
Catalog Number
 
 
Product Name
 
 
Quantity
 
 
Catalog Number
 
 
Product Name
 
 
Quantity
 
 
Catalog Number
 
 
Product Name
 
 
Quantity
 
 
 
 
 

How To Qualify

Must be leading a classroom-based course in

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Middle School

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High School

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Undergraduate

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Graduate

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Post Graduate