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REGISTRATION
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Second International
Quantum Science Symposium-2012
Quantum Information, Computing and Communication & Quantum Biology and Graphene Research
Venue: Peterhouse College, University of Cambridge, Cambridge CB2 1RD
United Kingdom
November 1 - 2, 2012
GeneExpression Systems, Inc. P.O. Box 540170, Waltham, MA 02454-0170 USA
Register the following Industry delegate(s) for this conference: UK ₤675 or US $999____
Register the following Academia/Government delegate(s): UK ₤384 or US $549____
Register the following PhD students: (fax a copy of your id) UK ₤223 or US $299____
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) UK ₤75 or US $100____
LATE FEE:
Registration Charges from Sept. 1 to Sept. 30: additional UK ₤ 62 or US $80 __
Registration Charges from Oct. 1 to Oct. 15: additional UK ₤ 114 or US $160 __
Registration Charges from Oct. 16 to Oct. 31: additional UK ₤ 165 or US $240 __
On site Registration: additional UK ₤ 216 or US $320 __
Cancellation policy: Substitutions are always welcome.
Cancellations before 90days: 70% refund Cancellations before 60days 50% refund Cancellations before 30 days NO REFUNDS
NOTE: Currency exchange into Euros € will be converted using the US $ values on that date
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
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