Go to Nanoparticles.org Home Page Particles 2011 Conference 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.      (Please check all that apply.)
Name  Telephone
Title Fax
Organization
Address E-Mail
Address
City/Town State/Province
Zip/PostalCode Country

Registration
Fee or Fees
in US$ Due:


Meeting Registration

Accompanying Person






Advance Registration - Through 5 Jul 2011
Industrial Attendee:
       Until Jun - 5 Jul = US$1375
Academic and Government Laboratory Attendee:
       Until 5 Jul = US$975
Accompanying Person:
       Until - 5 Jul = US$350

AFTER 5 Jul 2011 ONLY ON-SITE REGISTRATION AVAILABLE
       All Attendees = US$1475
       Accompanying Person = US$350
Accompanying person's name: 

Check if you would like us to try to obtain on-site reservations at the Holiday Inn Berlin City-West for you at the expired group rate of EUR 89 per night (single occupancy) or at the double occupancy rate of EUR 107 per night (each rate includes VAT and service charges and also includes full buffet breakfast) and guarantee your reservation with your credit card. Our room block has been closed. Various advance payment discounts and general room availability may be checked on-line at:
http://www.holidayinn.com/hotels/us/en/berlin/berap/hoteldetail
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) (EUR 89 or EUR 107 x Number of nights)  

Method of Payment for Conference Registration (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 conference.
Conference registration fees are refundable, less a 20% service charge, if cancellation is made earlier than 30 April 2011. After this date refunds, less a 20% service charge, will be made only if the space is replaced by another conferee. Cancellations must be made or requested in writing by fax, and after 30 April 2011 such requests will be honored in order of receipt, if the space can be filled with another conferee.

Contact Hotel, Holiday Inn Berlin City West, directly for room cancellation policy: Tel: +49 (0)30 38 39 9 888, E-mail: reservation.berlin@grandcityhotels.com

Wire transfer payment no longer available.
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 2011
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

© 2011 Particles Conference