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ICORD - 2014 Registration Form
To register please complete the information below and then click the "Submit" button.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Position
Your answer
University/Organization
*
Your answer
Address
*
Your answer
Country
*
Your answer
Phone
Your answer
If your paper has been accepted, title of paper
Your answer
Payment
*
Note: Early Bird Payment” is 200USD and Payment after May 15 is 300USD (Registration Fee covers materials, snacks & lunch)
Wire transfer
On site (payment may only be made in cash. No credit card facility available)
Other:
If you selected wire transfer, please indicate below details of wire transfer (bank, date remitted, other details). If you selected others, please state nature of payment
Your answer
Your expectations from ICORD 2014
*
Your answer
Area of specialization
*
This will help to assign reactors
Your answer
List any special accommodations or assistance you need in order to participate in this conference
Your answer
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