Hotel Reservation Form for ICMP
A Satellite Meeting of the World Congress 2006 -Seoul, South Korea
Hangzhou, China
September 3 - 6, 2006
Name:___________________________ _______________________
Mr. Ms. (family
name)
(given name)
Institution:____________________________________________________________________
Address:_____________________________________________________________________
_________________________________________________ Postal code:_________________
Telephone: _______________________________ Fax:________________________________
E-mail: _________________________________________________ Please print clearly
Please specify room type:
Standard / Deluxe / Deluxe Suite (please circle one)
Smoking / No-smoking (please circle one)
Arrival date: _________________________ Departure date: ________________________
The number of rooms are
limited and are available on a first come first served basis. If not
available, the next available lower grade room will be reserved for you.
Please mail a deposit
check in the amount below which is approximately the first night's room rate.
Deposit amount:
Standard Room: US$ 60
Deluxe Room:
US$100
Deluxe Suite:
US$120 Enclosed
US$ ____________
*Refund Policy: Before August
10, 2006, full refund.
After August 10, 2000, no refund will be made.
Please print this page using your local printer
Checks should be made
payable to North American Chinese Medical Physicists Association,
or NACMPA
Please email a note to RayKWu@GMail.com
for record, and
mail Reservation Form and check to:
Haoran Jin, Ph.D.
NACMPA
PO Box 721222,
San Diego, CA 92172
USA
For questions please contact:
Haoran Jin, Ph.D.
email: ljmedphys@hotmail.com
phone: 619-230-0400
or
Raymond Wu, PhD
email: RayKWu@GMail.com
phone: 614-566-4427
Last update: July 17, 2006
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