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QM2004
 
 

Please fill out the registration form below or download the registration form and email to qm2006@sinap.ac.cn

1 Personal Data  
Family Name：
Given Name：
Email：
Job Title：


1 Address  
City：
State：
Country/Region：
Daytime Phone：


Fax：


Country/Region code+City code+Phone Number
Affiliation：

Mailing Address：

Zip Code ：

1 Abstract Submission  
Report Type：
Topic of Presentation：
Please submit your abstract at HERE or mail to qm2006@ sinap.ac.cn

1 Excursion Selection  
Tour Route ： Information

1 Room Reservation  
Hotel： First Choice
Second Choice
From: To:
Room type ： Hotel Information
Food Restriction：

1 Registration Fee  
Categories
 Description Total
Registration only
 US$ 500 US$500
Registration + accompanying        person.
 US$ 500+100 US$600
Registration + hotel deposit.
 US$ 500+75 US$575
Registration+ accompanying person + hotel deposit.

US$ 600 +75

 US$675
Student Registration
 US$ 250 US$250
Student Registration+hotel deposit
 US$ 250+75 US$325
Apply for Finanical Support ：
(Age is Under 35)		 yes no
1. Accompanying person fee including reception,excursion & banquet.   
2. A Hotel Deposit of US$75 Will Be Added to the Payment. 
3. If You've applid for finanical support. Please fill out the Financial Support Form and mail to QM2006@ sinap.ac.cn before August 1, 2006.

1 Payment Form  
Bank transfer
1. BENEFICIARY’S BANK NAME:
Industrial and Commercial Bank of China, Shanghai Municipal Branch
  SWIFT ADDRESS:
ICBKCNBJSHI
  ADDRESS:
NO.9 PU DONG AVENUE (CENTURY FINANCE BUILDING), SHANGHAI CHINA
2. BENEFICIARY’S NAME:
Shanghai Institute of Applied Physics, Chinese Academy of Science
3. BENEFICIARY’S A/C NO.:
1001700809026400071
Please indicate:
1) Your name;
2) qm2006;
3) Without costs for the receiver

Check or Money Order
Please make it payable to Shanghai Institute of Applied Physics,
Chinese Academy of Science and mail it to: Shanghai Institute of Applied Physics, 2019 Jialuo Road, Box 800-204, Shanghai, 201800, P.R. China, Attn: Quark Matter 2006 (Tel: 8621+59554784)
Payment in cash at the registration desk in the conference hall.
If you choose this option, even if you register online before Sep. 15 , your registration fee will cost US$500 for non-student participants and US$250 for students.

1 Message  

Please write messages to the organizer here.
（If your submission is not successful, Please change your messages in this form and submit again!）

         

Your name will appear in partiscipants page if you submit successful. You can't change your information after your submission. If you want to change your data, please register again and send an email to qm2006@sinap.ac.cn. We will neglect the previous one except your registration time.


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