Please forward at earliest time to ASA and to SPIEZ LABORATORY via email or fax.

Click Here for the registration form in PDF

Registration Form for the 17th meeting in the CBMTS series:

CBMTS VIII

The Eighth Plenary

SPIEZ LABORATORY Switzerland
Spiez , Switzerland
02 May – 07 May 2010 

 


Personal Information:

Family Name:

First Name(s):

Title / Profession:

Organization / Company:

Postal Mailing Address:

Phone:

Fax:

E-mail address:

Accompanying Person:

Relationship:

NOTES:


Abstract Title:

Abstract has been sent: (give date)

 

or will be sent: (give date)

Accommodation Request: Hotel Registration form to be sent by Spiez Laboratory after registration is received.

Spiez:

Thun:

Travel Info:

Flight Arrival (city/date/time):

Airline/Flight Number:

Flight Departure (city/date/time):

Airline/Flight Number:

Registration Fees and Payment:

Registration Fee:

Through 19 March, 2010

From 20 March, 2010

Government/Academia CHF 1120 CHF 1320

Industry

CHF 1400

CHF 1600

Registration:

Hotel Deposit: The SPIEZ LABORATORY CBMTS VIII Organizing Committee will send each individual registrant a Hotel Form for Hotel selection and which will explain the Hotel Deposit requirements.

Total Registration:

*Credit Card Type:

Credit Card Number:

Expiration Date(MM/YY):

 

 

 

Name on Card:

 

Signature:

 

 

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Updated by Evan Saunders, 16 November, 2009

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