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REGISTRATION

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Third International      
Quantum Science Symposium Asia-2013

Quantum Information to Communications & Quantum Systems to Spintronics, Semi-conductors'

Venue: Sanjo Conference Hall, University of Tokyo Campus, Tokyo, JAPAN

   November 25 - 26, 2013

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


Tel: 781-891-8181; Fax: 781-730-0700 OR Fax: 781-891-8234 Email: Genexpsys@expressgenes.com; www.expressgenes.com

Register the following Industry delegate(s) for this conference: JPY (¥) 87,000 or US $999____
Register the following Academia/Government delegate(s):       JPY (¥) 50,000 or US $599_____
Register the following PhD students: (fax a copy of your id)      JPY (¥) 22,000 or US $249____

REGISTRATION COSTS INCLUDES: Break refreshments for two days, but NOT Room accommodation, book separately


Poster presentation (Abstract handling fee: Poster Size: W 3Ft x L 4Ft):  JPY (¥) 4,400 or US $50

LATE FEE:

Registration Charges from Oct. 1 to Oct. 31:      additional JPY (¥)   4,400 or US $  50  __
Registration Charges from Nov. 1 to Nov. 15:     additional JPY (¥)   8,800 or US $100  __
Registration Charges from Nov. 16 to Nov.22:    additional JPY (¥) 13,200 or US $150  __
On site Registration:                                               additional JPY (¥) 17,600 or US $200  __

           
Cancellation policy:             Substitutions are always welcome.
Cancellations before 90days: 70% refund Cancellations before 60days 50% refund      Cancellations before 30 days NO REFUNDS
                             


Name (print first, then last):_____________________________________________________

Title/Designation: 
 _____________________________________________________________

Company/Institution:
__________________________________________________________

Address:
_____________________________________________________________________

City/State/Zip Code/Country:__________________________________________________

E-Mail:  ___________________________________________________________________

Phone:  __________________________________  Fax:________________________

Payment Method:
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
AmEx____    Visa ____   MasterCard____       Discover____           
                                                                                                Billing Address (If different than the above)
Card Number: ______________________________________Security Code # (front/back on card):_______

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, Physical Reviews, New-Scientist, Nano Letters, 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

GeneExpression Systems™ All Rights Reserved 2013