Lab Experience Request

Organizer Name*

First Last

Organizer Email*

Enter Email Confirm Email

Organizer Phone*

School Name*

School District*

School Phone*

School Address*

Street Address Address Line 2 City State ZIP Code

Billing Contact*

Is the the billing contact information the same as the organizer information you provided on Page 1?

Yes

No

Billing Contact

First Last

Email

Enter Email Confirm Email

Phone

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Options*

Please select your preferred billing method:

Invoice

Purchase Order

Payment Method*

Please select your preferred payment method:

Credit Card/pCard

Check

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Biotility Cancellation / Change Policy*

I have read, and understand, the Biotility cancellation policy below.

Lab Experiences cancelled by a group more than 7 days prior to the start of the event are entitled to a full refund. Lab Experiences cancelled 3-7 days prior to the start of the event are subject to a 50% cancellation fee. Lab Experiences cancelled less than 3 days prior to the start of the event are not eligible for a refund. Any changes (i.e. number of participants) to a Lab Experience must be requested and approved by Biotility no later than 2 weeks prior to the date. Biotility reserves the right to cancel or reschedule an experience if changes cannot be accommodated. Changes can be emailed to biotility@research.ufl.edu. Any group that arrives more than 30 minutes past their start time risks their Lab Experience being cancelled. Due to our ordering and preparation for each Lab Experience, refunds or invoice adjustments for participants that do not show on the day of the event will not be issued.