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Subscribe for a Residency Program license
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Order Residency Program
Phenome Analyzer License
Residency programs get a
50% discount
for the residents and program directors.
Please fill out this form to apply.
Institution
*
Address
*
Street address
Street address 2
Town / City
State / Province / Region
Postal Code (zip code)
Country
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darrussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Program Director
Program director first name
*
Middle name
Program director last name
*
Suffix
II
III
IV
Jr.
Sr.
Program director deegre/s
MD
MB
DMD
DDS
DVM
DO
RN
PhD
GC
PA
NP
Program director title
Contact phone
Email
Does your residency program have a deputy director?
(they are also entitled to a discounted subscription)
Yes
Deputy director first name
Middle name
Deputy director last name
Suffix
II
III
IV
Jr.
Sr.
Deputy director deegre/s
MD
MB
DMD
DDS
DVM
DO
RN
PhD
GC
PA
NP
Deputy director title
Deputy director contact phone
Deputy director email
Program Administrator
On the page dedicated to your program, we list the administrator and their contact information so new residents know who to call to get a subscription. If there's no Program Administrator, we will list a Program Director on the program page.
Does your residency program have an Administrator?
Yes
Program administrator first name
Program administrator last name
Contact phone
Email
Participants' Email Addresses
Each physician must individually register for use. Please give us the emails of the residents who should get access. Note that you can replace one resident with another for free during the subscription year.
List of resident emails
Count of participants
Participants
Count
Cost
Program Director(s)
1
2
$
450
$
250.00
/ year
Resident Trainees
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
$
200
$
100.00
/ year
Subtotal
$
350.00
Total
$
350.00
Recurring Totals
Subtotal
$
350.00
/ year
Recurring Total
$
350.00
/ year
First renewal: April 10, 2022
Payment information
Pay by credit card
Please invoice us so we can pay by check
Purchase order number or name of approver
*
Invoice will be sent to the Program Administrator listed above
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