REGISTRATION

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Sixth International

Epigenomics, Sequencing & SNiPs-2013 Meeting
“Chromatin Methylation to Disease Biology & Theranostics”
The John B. Martin Conference Center at the Harvard Medical School, 77 Avenue Louis Pasteur, Boston, MA 02115, USA

July 10-11, 2013
REGISTRATION FORM

GeneExpression Systems, Inc. P.O. Box 540170, Waltham, MA 02454-0170 USA

Register the following Industry delegate(s) for this conference:  US $1199 ____
Register the following Academia/Government delegate(s):       US $699____
Register the following PhD students: (fax a copy of your id)     US $399 ____
REGISTRATION COSTS INCLUDES: Break refreshments for two days, but NOT Room accommodation
Poster presentation (Abstract handling fee; Size of Poster W 3ft x L 4ft)         US  $100____

LATE FEE:                  
Registration Charges from March 25 June 10:                 additional $ 50
Registration Charges from June 11 June 25:                   additional $100
Registration Charges from June 26 to July 09:                additional $150
On site Registration (from July 10-11):                               additional $ 200                                    

OPTIONAL: A hardcover text (2011) from Springer Press on “Stem Cells & Regenerative Medicine: From Embryology to Tissue Engineering” Edited by K. Appasani, Forwarded by Lasker Award winner John Gurdon
Available for attendees at an extra cost of $100.00 Check if you need a copy _____
OPTIONAL: A hard cover text (2012) from Cambridge University Press on “Epigenomics: From Chromatin Biology to Therapeutics” Edited by K. Appasani is available for attendees at an extra cost of $180.00 Check if you need a copy_____

Name (print first, then last): _________________________________________________________
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Company/Institution: _______________________________________________________________

Address: _________________________________________________________________________

City/State/Zip Code/Country: ________________________________________________________

E-Mail:              ____________________________________________________________________

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Check enclosed:____                CHECKS CAN BE WRITTEN IN EITHER:   US $   or   UK ₤   or   Euros €  and
Bill my company  ____                     Mail to: PO Box: 540170, Waltham, MA 02454-0170, USA
Charge my credit card: (check one) TRANSACTIONS WILL BE PROCESSED IN US DOLLAR CURRENCY
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Expiration Date:  ____________________________________Street:___________________________

Name (as shown on card):  ____________________________City/Country:_____________________

Signature of the cardholder _______________________Zip Code:______________________

How did you hear about this meeting? Ad in Journal (circle):  Science, Nature, Cell, New-Scientist, The Scientist, Genes & Dev, RNA, GES-Email Alert__, GES website__, Poster __, Post Card _, Brochure__, Other Web Ad_ , Referral __.

Substitutions/Cancellation Policy:
In case if your schedule prevents you to attend after registration we will accept a substitute colleague from your company at any time at no charge. However, we have to be notified in advance to prepare badges etc.

Cancellations before 90days: 70% refund
Cancellations before 60days 50% refund
Cancellations before 30 days NO REFUNDS