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Title:
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First Name:
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Last Name:
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Street Address:
(optional)
(optional) |
Please, use your business
(NOT HOME) address
with the organization name on the first line |
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City/Town:
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State (for USA only):
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Province/Territory (not USA):
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Zip/Postal Code:
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Country:
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Telephone (with area code):
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Fax (with area code):
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E-mail:
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If you wish to present a poster, please
indicate the title below. The due date for abstract submission has been
extended through
October 15, 2004. Abstract should be sent as an attachment in
Microsoft Word format (click on the Abstracts in the
menu to see the requirements for abstract format) to
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Title of
presentation (Please, type ONLY the first title
if presenting more
than one. DO NOT submit this registration form twice with different
titles!):
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Authors:
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Conference materials, banquet and reception fee, all meals from Friday through Saturday
night, coffee, and refreshments are included per paid participant.
Accommodation is NOT included.
Only checks and cash are accepted as a form of payment.
Please, make checks payable to Current Trends
in Computational Chemistry. |
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Registration fee before October 15, 2004 (US $) |
$200
(expired) |
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Registration fee thereafter (US $) |
$250 |
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Registration fee at student discount (US $) |
$100 |
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I do
I do not plan
to submit a manuscript to a Special CCTCC-13 Issue of the
International Journal of Quantum Chemistry. |
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Attention! All
participants (not all authors in the abstracts) must submit their photographs in digital format so that they could
be included together with address in the List of Participants section
of the Conference Proceedings. Please, e-mail your pictures as attachments (click
here for picture requirements) to
 . If you have
participated in one of our conferences before and you want to use the same
picture for the current one, please e-mail us about this without sending a
picture.
If you have any problems with this
registration, please e-mail
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