Registration

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Name:


E-mail:


Institution:


Day of arrival:


Day of departure:


Room Type (triple, double or single occupancy):


Will you be submitting an abstract?


Presentation type (oral or poster):


Contact address:







Costs:
Double for Single Use with Breakfast: 90 €
Double with Breakfast: 100 €
Triple with Breakfast: 120 €
Registration Fee 175 €

All accommodations must be made through the form above by May 30, 2013

Registration and accommodation fees, in the form of a certified or cashier's check, can be sent to Dr. George Hadjipanayis, University of Delaware, 104 The Green, 217 Sharp Lab, Newark, DE 19716.