Please forward at earliest time to ASA and to SPIEZ LABORATORY via email or fax.
Registration Form for the 15th meeting in the CBMTS series:
Personal Information: |
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Family Name: |
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First Name(s): |
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Title / Profession: |
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Organization / Company: |
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Postal Mailing Address: |
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Phone: |
Fax: |
E-mail address: |
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Accompanying Person: |
Relationship: |
NOTES:
Abstract Title: |
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Abstract has been sent: (give date) |
or will be sent: (give date) |
Accommodation Request:
CBMTS VII participants will be accommodated in Interlaken, the world-famous, scenic village situated between two magnificent lakes (approx. 20 km from Spiez). There will be a CBMTS shuttle bus between Spiez and Interlaken.
Hotel Fees:
Room Type |
Room Rate |
Single room with breakfast |
TBA |
Double room with breakfast |
TBA |
| Room Preference: | Single |
Double |
Dates: |
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Travel Info: |
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Flight Arrival (city/date/time): |
Airline/Flight Number: |
Flight Departure (city/date/time): |
Airline/Flight Number: |
Registration Fees and Payment: |
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Registration Fee: |
Through 3 Feb. 2008 |
After 3 Feb. 2008 |
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| Government/Academia | CHF 1040 | CHF 1240 | ||
Industry |
CHF 1300 |
CHF 1500 |
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Registration: |
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Hotel Deposit: TBA |
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Total Registration and Hotel Deposit: |
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*Credit Card Type: |
Credit Card Number: |
Expiration Date(MM/YY): |
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Name on Card: |
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Signature: |
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Updated by Evan Saunders, 17 June, 2007
copyright©2007, ASA Inc. All rights reserved.