REGISTRATION
Click Here For PDF
Ninth International
RNAi, MicroRNAs & Single Cell Biology-2012-Boston Summit
Hilton Garden Inn, 420 Totten Pond Road, Waltham, Massachusetts, 02451 USA
May 1 - 2, 2012
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 16 - 31: additional $ 50 __
Registration Charges from April 1 to March 15: additional $100 __
Registration Charges from April 16 to April 30: additional $150__
On site Registration from May 1-2: 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 $99). Check if you need a copy US $99.00____
OPTIONAL: A text book (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 $99). Check if you need a copy US $99.00____
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
|