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*Please indicate if
you are a member
Yes or
No |
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Membership ID |
if you're a member of the
International Association of Nanotechnology |
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*Prefix:
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Prof.
Dr.
Mr.
Mrs.
Ms.
Miss
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*First Name: |
M.I.
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*Last Name: |
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Title: |
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*Organization |
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Mail-Stop/Dept.: |
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*Street Address: |
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*City: |
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State: |
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Province:
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*Country: |
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*ZIP/Postal Code: |
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*Phone: |
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Fax: |
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*E-Mail: |
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Gender: |
Male
Female
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*This address is
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Your participation
as |
Speaker
Presenter
Exhibitor
Attendee
Committee
Member
Session Chair
Visitor
Media/
Press
Invited Guest of (name
below)
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Invited Guest of
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(if
applicable) |
Hotel Reservation
at the Hyatt Regency Hotel San Francisco
Airport
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Arrival
Date |
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Departure
Date |
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If not above, please specify: |
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Number of people in
your party |
1
2
3
4
5
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Number of rooms
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1
2
3
4
5
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Choice of Room |
1 King-size bed
with 2 beds
1-Bedroom Suite
Plaza Suite
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The Group Discount Rate is US$179 (plus taxes) per day. To reserve a room within the ICNT Group Discount Rate, a one day deposit
is required (Please select).
Room with 1 King size bed - US$179.00/day + 10% taxes and $2.00 tourist fee (a total of $198.90/day).
Room with 2 Queen size Beds
- US$159.00/day + 10% taxes and $2.00 tourist fee (a total of $198.90/day).One night deposit will be charged to your credit card in order
to secure your special rate within the Group Booking. |
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Credit Card Payment |
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Please enter credit card
information below: |
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