Particles 2001

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.

*Program Sessions*	*Abstracts*	*Registration*	*Workshops*
	*Home*	*Exhibitors*

*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)*

Card No.	Exp. Date

Name on Card	Signature	______________________________________