biotech 2005

Please fill in this form and tick the appropriate boxes.

Personal Information:

title:

first name:

family name:

affiliation
(company, institution):

address:

post code:

town:

country:

e-mail:

phone:

fax:

* marks mandatory fields

I will arrive by:

public transport (click here for details)

car

I would like to register in one of the following categories¹:

Regular Participant

Invited Speaker/Organiser

Student A (free entrance to the symposium; meals and abstract book not required)

Student B (free entrance to the symposium; meals and abstract book to be purchased separately)

Group of more than 10 participants (please only register the group leader and contact the registration office)

¹ Exhibitors: please use the separate forms which can be found here.

Type of presentation:

I am presenting a TALK with the following title:

I am presenting a POSTER with the following title:

I would like to publish my contribution in the special issue of Chimia².

(² If yes, the deadline for paper submission is the last day of the conference, i.e. Thursday, 19 May 2005.)

I will attend the following days of the symposium and social events:

	Early bird (before 15.03.2005)	Regular fee³
the whole symposium 17 – 19 May 2005 incl. gala dinner	300.-	400.-
symposium on Tuesday 17 May 2005 incl. gala dinner	150.-	200.-
I CANNOT attend the gala dinner
symposium on Wednesday 18 May 2005	150.-	200.-
symposium on Thursday 19 May 2005	150.-	200.-
alumni get-together 18 May 2005	30.-⁴	30.-⁴
I am in the “Student B” category and would like to register for lunches and the gala dinner.	150.-	200.-

³ The fee must be paid before the symposium starts as no cash payments can be accepted on site. Registration is binding: you agree to pay the appropriate fee before the deadline of 30 April 2005 or by 15. March 2005 (NB deadline extended) if you are taking advantage of the early bird fee. No refund for any missed meals or for cancellation of registration after 30 April 2005 will be made.

⁴ To be paid in cash directly before the event. For
members of the Network Wädenswil 20.- and for students 10.- only!!

The payment⁵ will be made by:

payment slip

bank transfer (click here for details)

no payment (invited speaker or student A)

⁵Please include your full name and the code 'biotech2005 821701' on your payment.

Participants from industry are kindly asked to examine the publicity opportunities. The organisers would be most grateful for any sponsoring contribution to this event.

comments:

pdf

Registration deadline: 31 March 2005