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REGISTRATION

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Eighth International
RNAi, MicroRNAs & Single Cell Biology-2011-Boston Summit
Hilton Garden Inn, 420 Totten Pond Road, Waltham, Massachusetts, 02451 USA
                   April 4 - 5, 2011

   REGISTRATION  FORM

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


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

Register for (Check one):  RNAi & miRNAs-Meeting___ Single Cell Biol. & RTPCR____
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)                                         US  $100____
LATE FEE:                  
Registration Charges from February 16 - 29:                              additional $ 50
Registration Charges from March 1 to March 15:                         additional $100
Registration Charges from March 16 to March 31:                       additional $150
On site Registration (from April 1-4):                                         additional $ 200  
                                  

OPTIONAL: A hardcover text (2007) from Cambridge University Press, on “MicroRNAs: From Basic Science to
Disease Biology” Edited by K. Appasani, Forwarded by Victor Ambros and Nobel Laureate Sidney Altman

(Available for registered participants at an additional cost of $180). Check if you need a copy US $180.00____
OPTIONAL: A hardcover text (2005) from Cambridge University Press, on “RNA Interference Technology: From Basic Science to Drug Development” Edited by K. Appasani, Forwarded by Nobel Laureates Andrew Fire and M. Nirenberg
(Available for registered participants at an additional cost of $180). Check if you need a copy US $180.00
____

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, 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

GeneExpression Systems™ All Rights Reserved 2011