Go to Nanoparticles.org Home Page Particles 2013 Conference 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 31 Jul 2013
Industrial Attendee:
       Through 31 Jul = US$1175
Academic and Government Laboratory Attendee:
       Through 31 Jul = US$975
Full-time Student:
       Through 31 Jul = US$475
Accompanying Person:
       Through 31 Jul = US$350

AFTER 31 Jul 2011 ONLY ON-SITE REGISTRATION AVAILABLE
       All Attendees = US$1275
       Accompanying Person = US$350
Accompanying person's name: 

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 June 2013. 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 June 2013 such requests will be honored in order of receipt, if the space can be filled with another conferee.

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 2013
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

© 2013 Particles Conference