Exhibitor Registration Form for Particles 2002
20-23 April 2002, Orlando, Florida

Please fill out (type before printing), print, sign this form, and submit via fax or mail.

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Contact Person:
(Check all that apply.) Mr. Ms. Dr. 
Company Name  Telephone
Fax
Address E-Mail
Address
City/Town State/Province
Zip/PostalCode Country

Fee Due:
Exhibitor Registration  Fee - $1,800

 
Method of Payment:
(All payments must be in U.S. dollars)
Exhibitor Registration fees are non-refundable.  Choice of booths is made in order of payment received.
Check Enclosed 
Checks must be drawn upon a U.S. bank.  Make checks payable to: Particles Conference
                (EIN 16-1565388)
Payment by wire transfer  Wire payments to Manufacturers and Traders Trust Company (44 Exchange Boulevard, Rochester, NY 14612, USA), ABA Routing No. xxxx, Particles Conference Account No. xxxx; transfer fees not included in wire payment are due upon registration on site (contact conference office for Routing and Account Nos.).
Visa Master Card American Express
Card No. Exp. Date
Name on Card Signature
______________________________________

Please fax completed registration form to: (716) 482-7795 (No cover sheet required)
 Or mail to:  Particles 2002
                     265 Clover Street
                     Rochester, NY   14610-2246, U.S.A.
Questions?
Call (716) 288-5913
E-mail:  info@nanoparticles.org

Please fill out (type before printing), print, sign this form, and submit via fax or mail.
 


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(C) 2002 Particles Conference