Registration for International Congress on Medical Physics
A Satellite Meeting of the World Congress 2006 -Seoul, South Korea
Hangzhou, China
September 3 - 6, 2006
Registration Form
Name:___________________________ _______________________degree:______________
Mr. Ms. (family
name)
(given name)
Institution:____________________________________________________________________
Address:_____________________________________________________________________
_________________________________________________ Postal code:_________________
Telephone: _______________________________ Fax:________________________________
E-mail: _________________________________________________ Please print clearly
Registration fees:
Participant: early
(until July 1, 2006)
US$ 280*
late (July 1 to August 10, 2000) US$ 340 on site US$ 400 ___________
Companion Name: _________________________________________ US$ 100 ___________
*Refund Policy: Before July
1, 2006, full refund. Before August 10, 2006, 50% refund.
After August 10, 2000, no refund will be made.
*Registration fees include admissions to scientific sessions, commercial
exhibits, all meals, and one local tour.
Please print this page using your local printer
Checks should be made
payable to North American Chinese Medical Physicists Association, or NACMPA
Please mail Registration Form and check to:
Raymond K. Wu, Ph.D.
Medical Physics Department
OhioHealth Hospitals
3535 Olentangy River Road,
Columbus, OH 43016
USA
Tel: 1-614-566-4427
Email: RayKWu@GMail.com
or, if Chinese currency is used, send to
Prof. Yimin Hu
Cancer Institute (Hospital),
CAMS Beijing 100021, China
Tel & Fax: 86-10-6773-7011
Email: huyiminr@public.bta.net.cn
Please print this page using your local printer
Last update: May 16, 2006
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