Go to Nanoparticles.org Home Page Particles 2010 Short Course and Hotel Registration
Please fill out (type before printing), print, sign this form,
and submit via fax or mail (see bottom of this page).
Mr. Ms. Dr. Prof.      (Check all that apply.)
Name  Telephone
Title Fax
Organization
Address E-Mail
Address
City/Town State/Province
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Select Course or Courses (click to activate checkbox; all fees in US dollars):
 
Course 1 - $1150 Introduction to Colloidal Dispersions- Friday & Saturday, May 21-22, 2010
Course 2 - $675 Surface Modification Chemistries for Particles and Interfaces - Saturday, May 22, 2010
 
Select Any Applicable Discounts [and subtract discount(s) from base course fee(s)]:

  Registered for Particles 2010 Conference: $50 discount per course
  Group of two or more from same organization taking same courses: $50 discount per course; describe group: 


Enter Total Course Fee (base fee minus discounts; in US dollars):


Check if you would like on-site reservations at the Regal Sun Resort at the group rate of US$95 plus tax (currently 12.5%) for a total of US$107 per night (single and double occupancy) and guarantee your reservation with your credit card. The number of rooms available at this highly favored conference rate is limited and will be filled on a first-come, first-served basis with conferees who have registered for the conference. See transferability, cancellation and refund policy below.

Arrival Date      Number of Nights      Departure Date 

If you are sharing a room, please enter other person's name: 

Hotel Guarantee (credit card) or Prepayment (check or wire) (US$107 x Number of nights) in US$ 

Payment by check or wire transfer must include full hotel prepayment if hotel reservation is selected. Credit card payment of registration and guarantee of hotel amount will be processed upon receipt; credit card payment of hotel amount will be processed on departure date selected.

Method of Payment (All payments must be in U.S. dollars): Registration Transferability, Cancellations & Refunds
Check Enclosed 
Checks must be drawn upon a U.S. bank.  Make checks payable to:
Particles Conference
 (EIN 16-1565388)
Registrations are transferable and substitutions from the same organization may be made without penalty prior to and through arrival at the short course.
Short course registration fees are refundable, less a 20% service charge, if cancellation is made earlier than 22 April 2010. After this date refunds, less a 20% service charge, will be made only if the space is replaced by another short course student. Cancellations must be made or requested in writing by fax, and after 22 April 2010 such requests will be honored in order of receipt, if the space can be filled with another short course student.

Hotel deposits or guarantees are fully refundable if cancelled prior to 22 April 2010. After this date and through 19 May 2010, hotel deposits or guarantees will be refunded only if the room is occupied by another conferee or course student. After 19 May 2010, hotel deposits or guarantees will be refunded only if the room is occupied by another guest.

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  MasterCard  American Express  Discover  Diners Club  Japanese Credit Bureau

Card No. Exp. Date
Name on Card Signature
______________________________________

Please fax completed registration form to:   1-585-482-7795   (No cover sheet required)


 Or mail to: Particles 2010
265 Clover Street
Rochester, NY  14610-2246, USA
Questions?
Call 1-585-288-5913
E-mail:  info@nanoparticles.org

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

For Short Course/Workshop Registration Click HERE

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