nanoparticles.org - Particles Conference Registration Form


	Particles 2003 Conference Registration Please fill out (type before printing), print, sign this form, and submit via fax or mail (see bottom of this page). *After Thursday, 21 August, Register On Site Only*


Mr. Ms. Dr. Prof. (Check all that apply.)


Name				Telephone
Title				Fax


Organization


Address		E-Mail
Address


City/Town		State/Province


Zip/PostalCode			Country

Fee Due: (Early registration extended to 30 June 2003)


Meeting Registration Fee in US$		Speakers, Poster Presenters, Exhibitors: On & Before 15 30 June - US$350; After 15 30 June - US$450 Students (Full time graduate or undergraduate): On & Before 15 30 June - US$300; After 15 30 June - US$400 >Regular Attendees: > On & Before 15 30 June - US$575; After 15 30 June - US$675

Check if you would like us to make on-site reservations for you at the Westin Prince Hotel and guarantee your reservation with your credit card. The required deposit or guarantee is 112% (CDN$185) of one night's room rate. Changes and cancellations should be made by directly contacting the Westin Prince Hotel at
1-800-268-7677 or 1-416-444-2511.

Arrival Date Number of nights
If you are sharing a room, please enter other person's name:


*Method of Payment:(All payments must be in U.S. dollars)*	Cancellations & Refunds
Check Enclosed Checks must be drawn upon a U.S. bank. Make checks payable to: *Particles Conference* *(EIN 16-1565388)*	Meeting registration fees are refundable, less a 15% service charge, if cancellation is made earlier than 23 July 2003. No refunds will be given after that date. All cancellations must be confirmed in writing. Substitutions from the same organization may be made without penalty. Hotel deposits or guarantees are fully refundable if cancelled five days prior to arrival date.


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: (585) 482-7795 (No cover sheet required)


Or mail to: Particles 2003 *265 Clover Street* *Rochester, NY 14610-2246, U.S.A.*	*Questions?* *Call (585) 288-5913* *E-mail: query@nanoparticles.org*

After Thursday, 21 August, Register On Site Only
Please fill out (type before printing), print, sign this form, and submit via fax or mail.

For Short Course/Workshop Registration Click HERE