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REGISTRATION
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First International: Therapeutics Discovery Symposium Asia
Small RNAs to Stem Cells & Epigenetic Reprogramming Asia-2013 Meeting
On
‘RNA Regulation to Delivery, Programming to Pluripotency & Therapeutics’
Venue: Sanjo Conference Hall, University of Tokyo Campus, Tokyo, JAPAN
November 25 - 26, 2013
GeneExpression Systems, Inc. P.O. Box 540170, Waltham, MA 02454-0170 USA
Register the following Industry delegate(s) for this conference: JPY (¥) 87,000 or US $999____
Register the following Academia/Government delegate(s): JPY (¥) 50,000 or US $599_____
Register the following PhD students: (fax a copy of your id) JPY (¥) 22,000 or US $249____
REGISTRATION COSTS INCLUDES: Break refreshments for two days, but NOT Room accommodation, book separately
Poster presentation (Abstract handling fee: Poster Size: W 3Ft x L 4Ft): JPY (¥) 4,400 or US $50
LATE FEE:
Registration Charges from Oct. 1 to Oct. 31: additional JPY (¥) 4,400 or US $ 50 __
Registration Charges from Nov. 1 to Nov. 15: additional JPY (¥) 8,800 or US $100 __
Registration Charges from Nov. 16 to Nov.22: additional JPY (¥) 13,200 or US $150 __
On site Registration: additional JPY (¥) 17,600 or US $200 __
Cancellation policy: Substitutions are always welcome.
Cancellations before 90days: 70% refund Cancellations before 60days 50% refund Cancellations before 30 days NO REFUNDS
Name (print first, then last):_____________________________________________________
Title/Designation: _____________________________________________________________
Company/Institution:__________________________________________________________
Address: _____________________________________________________________________
City/State/Zip Code/Country:__________________________________________________
E-Mail: ___________________________________________________________________
Phone: __________________________________ Fax:________________________
Payment Method:
Check enclosed:____ CHECKS CAN BE WRITTEN IN EITHER: US $ or UK ₤ or Euros € and
Bill my company ____ Mail to: PO Box: 540170, Waltham, MA 02454-0170, USA
Charge my credit card: (check one) TRANSACTIONS WILL BE PROCESSED IN US DOLLAR CURRENCY
AmEx____ Visa ____ MasterCard____ Discover____
Billing Address (If different than the above)
Card Number: ______________________________________Security Code # (front/back on card):_______
Expiration Date: ____________________________________Street:___________________________
Name (as shown on card): ____________________________City/Country:_____________________
Signature of the cardholder _______________________Zip Code:______________________
How did you hear about this meeting? Ad in Journal (circle): Science, Nature, New-Scientist, GES-Email Alert__, GES website__, Poster __, Post Card _, Brochure__, Other Web Ad_ , Referral __.
Substitutions/Cancellation Policy:
In case if your schedule prevents you to attend after registration we will accept a substitute colleague from your company at any time at no charge. However, we have to be notified in advance to prepare badges etc.
Cancellations before 90days: 70% refund
Cancellations before 60days 50% refund
Cancellations before 30 days NO REFUNDS
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